• Am. J. Med. Sci. · Apr 2024

    Review Case Reports

    Phlegmonous gastritis: review of the pathophysiology.

    • Cohen Ramon, Nemet Shay, Attali Malka, and Elbirt Daniel.
    • Department of Internal Medicine B, Kaplan Medical Center, Rehovot, Israel. Electronic address: ramonco@clalit.org.il.
    • Am. J. Med. Sci. 2024 Apr 1; 367 (4): 274277274-277.

    AbstractPhlegmonous 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.Copyright © 2024 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.

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