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Acute diffuse phlegmonous gastritis

S T Chen, S Kawai, H Matsumoto

    The Japanese Journal of Surgery
    |June 1, 1980
    PubMed
    Summary
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    Acute diffuse phlegmonous gastritis is a severe stomach condition. This case highlights rapid symptom onset and characteristic histological findings of intense inflammation and abscesses in the stomach wall.

    Area of Science:

    • Gastroenterology
    • Pathology

    Background:

    • Acute diffuse phlegmonous gastritis is a rare and severe inflammatory condition of the stomach.
    • Characterized by diffuse transmural inflammation and pus formation.

    Observation:

    • A 54-year-old male presented with sudden upper abdominal pain, high fever, and anorexia.
    • Physical examination revealed a thickened and rigid stomach wall.

    Findings:

    • Histological examination showed massive polymorphonuclear leukocyte infiltration in the submucosa and muscularis.
    • The lamina muscularis mucosae was fragmented by numerous small focal abscesses, confirming phlegmonous gastritis.

    Implications:

    • This case underscores the importance of prompt diagnosis and management of acute diffuse phlegmonous gastritis.

    Related Experiment Videos

  • Understanding the histological features is crucial for differentiating it from other causes of acute abdomen.