Abstract
Eight cases of phlegmonous enterocolitis which involved the small intestine exclusively in 5 patients, colon exclusively in 2, and both small intestine and colon in one are reported. Seven of the cases were studied at autopsy. The intestinal lesion was clearly the cause of death in 3 patients and was probably a secondary finding in 4 others. In one case, the cecum was involved and this segment was surgically resected. Five of the patients gave a history of alcoholism. The livers of the 7 patients studied at autopsy were all abnormal; cirrhosis was present in 4, severe fatty metamorphosis in 2, and moderate fatty metamorphosis in 1. The clinical, morphological, and bacteriological aspects of phlegmonous gastritis and phlegmonous enterocolitis are similar, and these two conditions are thought to represent the same infectious disease involving different levels of the gastrointestinal tract. In most patients the factor(s) predisposing to infection of the gastric and intestinal wall are unknown. In some patients mucosal injury of varied type and septicemia appear to have been the forerunners of the phlegmonous lesion. The possible relationships of ischemic bowel injury, alcoholis, and liver disease to phlegmonous inflammation of the gastrointestinal tract are discussed.
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References
Smith GE: Subacute phlegmonous gastritis simulating intramural neoplasm. Gastrointest Endosc 19:23–28, 1972
Jacobs KJ, Tapper R, Ackerman JR: Phlegmonous colitis, an abdominal catastrophe. Am Surg 39:286–289, 1973
Gonzalez-Crussi F, Hackett RL: Phlegmonous gastritis, Arch Surg 93:990–995, 1966
Gerster JCA: Phlegmonous gastritis. Ann Surg 85:668–682, 1927
Sundberg H: Über Gastritis phlegmonosa. Nord Med Arkiv 11:303–468, 1919
Bockus HL (editor): Gastroenterology, Vol. 1. Philadelphia, W. B. Saunders, 1974, pp 522–523
Rokitansky K: Handb Pathol Anat, 1842, Vol 3, cited by Irwin and McDonald
McCallum WG: Phlegmonous enteritis. Johns Hopkins Hosp Bull 42: 254–258, 1906
Irwin GC, McDonald S: Two cases of localized phlegmonous enteritis. Br J Surg 19:362–373, 1932
Gerard PW: Phlegmonous colitis. Am J Clin Pathol 51:338–343, 1969
Mendeloff J., Wenger J: Liver disease, phlegmonous colitis and gram-negative sepsis. South Med J 68:507–510, 1975
Lucké B: The pathology of fatal epidemic hepatitis. Am J Pathol 20:471–593, 1944
LaForce MF: Diffuse phlegmonous gastritis: A rare complication of pneumococcal endocarditis. Arch Intern Med 120:230–233, 1967
Magill J: Case of mitral valve disease followed by ulcerative endocarditis. Br Med J 2:1074–1075, 1884
MacLeod J: Suppurative gastritis; death; necropsy. Lancet 2:1166, 1887
Pollack AD, Gerber IE: Abdominal visceral lesions associated with primary disease of the liver. Arch Pathol 36:608–611, 1943
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Rosen, Y., Won, O.H. Phlegmonous enterocolitis. Digest Dis Sci 23, 248–256 (1978). https://doi.org/10.1007/BF01072325
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DOI: https://doi.org/10.1007/BF01072325