Abstract
Phlegmonous gastritis is an uncommon local or diffuse bacterial infection of the stomach wall. It is an extremely rare disease with a fulminating course and a high mortality rate. A majority of cases are diagnosed only postmortem, and early diagnosis is crucial for survival. This used to be common in the preantibiotic era; a resurgence of cases has occurred of late due to the spread of acquired immunodeficiency syndrome. There are varying local and systemic associations like gastric ulcer, gastric carcinoma, post-therapeutic endoscopy, postsurgery, human immunodeficiency virus infection, malnutrition, Kaposi’s sarcoma, myeloma, leukemia, Sjogren’s syndrome, and glucocorticoid use. We report a case of phlegmonous gastritis in a 70-year-old lady associated with gastric lymphoma. She succumbed to death on the fifth day of hospitalization despite broad-spectrum antibiotic therapy. She could not be operated upon due to the onset of multiorgan dysfunction syndrome and multiple comorbidities. To our knowledge, gastric lymphoma presenting as phlegmonous gastritis has not been reported in published English literature.
Similar content being viewed by others
References
Wakayama T, Watanabe H, Ishizaki Y, et al. A case of phlegmonous esophagitis associated with diffuse phlegmonous gastritis. Am J Gastroenterol 1994;89(5):804–6.
Weiner CI, Kumpe DA, Diaconis JN. Idiopathic gastric abscess: a bizarre intramural lesion. Am J Gastroenterol 1975;64(6):452–9.
Mittleman RE, Suarez RV. Phlegmonous gastritis associated with the acquired immune deficiency syndrome/pre acquired immune deficiency syndrome. Arch Pathol Lab Med 1985;109(8):765–7.
Yu QQ, Tariq A, Unger SW, Cabello-Inchausti B, Robinson MJ. Phlegmonous gastritis associated with Kaposi sarcoma: a case report and review of the literature. Arch Pathol Lab Med 2004;128(7):801–3.
Shuttz MJ, Vander Hulst RWM, Tytgat GNJ. Acute phlegmonous gastritis. Gastrointest Endosc 1996;44(1):80–3.
Lee BS, Kim SM, Seong JK, Kim SH, Jeong HY, Lee HY, et al. Phlegmonous gastritis after endoscopic mucosal resection. Endoscopy 2005;37(5):490–3.
Sakhri J, Youssef S, Mohamed TY, Khila M. Phlegmonous gastritis complicated by upper digestive hemorrhage. Dig Dis Sci 1999;44(12):2435.
Starr A, Wilson JM. Phegmonous gastritis. Ann Surg 1957;145(1):88–93.
Cohen ME, Taylor MB. Treatment of Phlegmonous gastritis. J Clin Gastroenterol 2000;30(1):100.
Iwakiri Y, Kabemura T, Yasuda D. A case of acute phlegmonous gastritis successfully treated with antibiotics. J Clin Gastroenterol 1999;28:175–7.
Radhi J, Kamouna M, Nyssen J. Phlegmonous gastritis following coronary bypass surgery. Can J Gastroenterol 1999;13(10):837–9.
Ocepek A, Skok P, Virag M, Kamenik B, Horvat M. Emphysematous gastritis—case report and review of the literature. Z Gastroenterol 2004;42(8):735–8.
Hu DC, McGrath KM, Jowell PS, Killenberg PG. Phlegmonous gastritis: successful treatment with antibiotics and resolution documented by EUS. Gastrointest Endosc 2000;52(6):793–5.
Iwakiri Y, Kabemura T, Yasuda D, Okabe H, Soejima A, Miyagahara T, et al. A case of acute phlegmonous gastritis successfully treated with antibiotics. J Clin Gastroenterol 1999;28(2):175–7.
Kato K, Sasaki H, Ido M, Iwata M, Naganuma T, Fujimori K. A case of the phlegmonous gastritis successfully treated by conservative therapy. Nippon Shokakibyo Gakkai Zasshi 1998;95(5):432–5.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
R., H., K., P., M., P. et al. Gastric Lymphoma Presenting as Phlegmonous Gastritis. J Gastrointest Canc 38, 24–27 (2007). https://doi.org/10.1007/s12029-008-9011-5
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12029-008-9011-5