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BIBTEX RIS

Pseudomyxoma peritonei syndrome 12 months after an intact resection of malignant mucocele of the appendix: A case report

2010; Elsevier BV; Volume: 65; Issue: 8 Linguagem: Inglês

10.1590/s1807-59322010000800015

1980-5322

Leonardo Maciel da Fonseca, Antônio Lacerda‐Filho, Rodrigo Gomes da Silva,

Appendicitis Diagnosis and Management

Phlegmonous gastritis or suppurative gastritis is a rare condition characterized by a purulent inflammatory process involving the gastric wall that can occur in a diffuse, localized, or mixed form. The most common type, the diffuse form, is characterized by initial involvement of the gastric submucosa with posterior extension to all layers of the gastric wall, resulting in extensive gangrene of the stomach. Although the exact pathogenesis of phlegmonous gastritis is unknown, it is likely caused by a bacterial infection of the stomach wall seeded either directly by invasion through a breach in the gastric mucosa or secondary to hematogenous spread from a distant source of infection.6,9,10 Predisposing conditions associated with suppurative gastritis include alcoholism, diabetes, ingestion of a foreign body, gastric surgery, endoscopic polypectomy, ingestion of corrosive agents, gastritis, chronic peptic ulcers, gastric carcinoma, and human immunodeficiency virus infection.5,9,12,17–19 Until recently, the recommended therapy for an intramural gastric abscess was surgical drainage in combination with antibiotics. However, technical advances now allow both radiologic and endoscopic intervention. In this case report, we describe an intramural gastric abscess that was successfully treated with antibiotics and endoscopic drainage.