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Phlegmonous gastritis: Review of the pathophysiology
Cohen Ramon1, Nemet Shay2, Attali Malka1
1Department of Internal Medicine B, Kaplan Medical Center, Rehovot, Israel.
Abstract:
Phlegmonous gastritis is a rare infection of the gastric wall. Clinical presentation of phlegmonous gastritis is generally non-specific and includes epigastric pain, nausea, vomiting and fever. The infection results from a transmural infection of the stomach. Several possible routes for phlegmonous gastritis have been proposed: a direct spread from the injured gastric mucosa site, a hematogenous spread to the stomach from a distant focus and lymphatic spread from a contiguous septic focus. The possibility that swallowing Streptococcus-containing secretion is also mentioned. We present a case of phlegmonous gastritis following a pharyngitis and discuss the routes of phlegmonous gastritis, the possible link to pharyngitis and review the diagnosis and treatment of this condition.
Insights
Phlegmonous gastritis, a rare gastric wall infection, presents non-specifically. This case highlights a potential link between pharyngitis and phlegmonous gastritis, exploring its diagnosis and treatment.
Area of Science:
- Gastroenterology
- Infectious Diseases
Background:
- Phlegmonous gastritis is a rare, severe infection affecting the gastric wall.
- Its clinical presentation is often non-specific, mimicking common gastrointestinal issues.
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