Acute phlegmonous gastritis

摘要

Summary Acute phlegmonous gastritis is an uncommon and often life-threatening disease characterized by suppurative bacterial infection of the stomach. Here we report a case of acute plegmonous gastritis in a 51-year-old male patient with underlying alcoholic cirrhosis. When admitted to the emergency department, he initially presented with upper abdominal pain, and fever for three days. The patient's vital signs were unstable, including blood pressure 90/55 mmHg, heart rate 110 beats per minute, respiratory rate 25 breaths per minute, and body temperature 38°C. Emergent imaging results suggested acute phlegmonous gastritis. The patient was admitted to the intensive care unit for immediate treatment with intravenous antibiotics, and results of endoscopic tissue culture and blood culture on day four identified the underlying pathogen as Klebsiella pneumonia. In this case report, we share the patient's clinical course, ultrasonography and computed tomography images, and endoscopic findings, accompanied by brief literature review. Copyright ? 2017, The Gastroenterological Society of Taiwan, The Digestive Endoscopy Society of Taiwan and Taiwan Association for the Study of the Liver.