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[Phlegmonous colitis]
E Reyes Gutiérrez1, A Gamboa Domínguez, M L Díaz Betancourt
1Departamento de Patología, Instituto Nacional de la Nutrición Salvador Zubirán, México DF.
Revista De Gastroenterologia De Mexico
|October 1, 1992
Summary
Phlegmonous colitis, a rare digestive tract inflammation, often links to systemic infections and liver disease. This case highlights Streptococcus pneumoniae septicemia in a patient with cirrhosis, leading to phlegmonous colitis.
Area of Science:
- Gastroenterology
- Pathology
- Infectious Diseases
Background:
- Phlegmonous inflammation of the digestive tract is a rare condition, frequently associated with systemic infections and chronic hepatic diseases.
- These conditions can compromise mucosal defense mechanisms, increasing susceptibility to bacterial invasion.
- Phlegmonous enterocolitis or gastritis involves acute inflammation damaging the submucosal layer of the stomach, small intestine, or large intestine.
Observation:
- The study presents postmortem findings and clinical course of a rare case of phlegmonous colitis.
- The patient was a 53-year-old woman.
- She had a history of cirrhosis and presented with Streptococcus pneumoniae septicemia.
Findings:
- Phlegmonous inflammation selectively targets the submucosal layer of the gastrointestinal tract.
- Intestinal lesions are more common in the small intestine, but colonic involvement also occurs.
- This case demonstrates phlegmonous colitis in the context of cirrhosis and pneumococcal septicemia.
Implications:
- This case underscores the association between compromised liver function, systemic infection, and the development of phlegmonous colitis.
- Understanding these associations is crucial for diagnosing and managing rare gastrointestinal inflammatory conditions.
- Further research may elucidate the specific mechanisms linking cirrhosis, septicemia, and phlegmonous inflammation in the digestive tract.