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- Takashi Yokota, Takayuki Yamaki, Rei Yashima, Yasuo Yamada, Yoichi Narushima, Shu Kikuchi, Hidemi Yamauchi, and Masahito Hatori.
- Department of Surgery, National Sanatorium Tohoku Shinseien, Miyagi, Japan. HKI06124@nifty.com
- Ups. J. Med. Sci. 2005 Jan 1; 110 (3): 237-40.
AbstractPhlegmonous gastritis is a rare inflammatory lesion in which bacterial infection occurs in the gastric wall. A case of phlegmonous gastritis producing an intramural filling defect in the stomach is presented. Endoscopy showed edematous and reddened gastric mucosa with a mass lesion in the gastric body and antrum. An abdominal CT scan showed diffuse and irregular thickening of the gastric wall. At emergency operation, a total gastrectomy with splenectomy was performed. The most important differential diagnosis is carcinoma, especially scirrhous-type gastric cancer. Radiographic findings of phlegmonous gastritis resemble those of scirrhous gastric cancer. More frequent recognition of this disease, early diagnosis and prompt institution of treatment is essential.
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