Gastric wall abscess after endoscopic submucosal dissection
Gastric wall abscess, a localized form of phlegmonous gastritis, is a rare complication of endoscopic resection. We report the first case of gastric wall abscess developing after endoscopic submucosal dissection in Korea. A 72-year-old woman visited our clinic to receive treatment for gastric adenom...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Gastrointestinal Endoscopy
2023-01-01
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| Series: | Clinical Endoscopy |
| Subjects: | |
| Online Access: | http://www.e-ce.org/upload/pdf/ce-2021-203.pdf |
| _version_ | 1797641539358294016 |
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| author | Seung Jung Yu Sang Heon Lee Jun Sik Yoon Hong Sub Lee Sam Ryong Jee |
| author_facet | Seung Jung Yu Sang Heon Lee Jun Sik Yoon Hong Sub Lee Sam Ryong Jee |
| author_sort | Seung Jung Yu |
| collection | DOAJ |
| description | Gastric wall abscess, a localized form of phlegmonous gastritis, is a rare complication of endoscopic resection. We report the first case of gastric wall abscess developing after endoscopic submucosal dissection in Korea. A 72-year-old woman visited our clinic to receive treatment for gastric adenoma. The patient successfully underwent endoscopic submucosal dissection with no complications. The final diagnosis was well-differentiated tubular adenocarcinoma. We performed follow-up endoscopy 10 weeks later and found a large subepithelial lesion on the posterior wall of the gastric antrum. Abdominal computed tomography revealed hypodense wall thickening and a 5 cm heterogenous multilobular mass in the submucosal layer of the gastric antrum. Submucosal invasion with mucin-producing adenocarcinomas could therefore not be excluded. The patient agreed to undergo additional gastrectomy due to the possibility of a highly malignant lesion. The final diagnosis was acute suppurative inflammation with the formation of multiple abscesses in the mural layers and omentum. The patient was discharged with no complications. |
| first_indexed | 2024-03-11T13:47:07Z |
| format | Article |
| id | doaj.art-40861ac778754ffa97a3bf044f9e3d26 |
| institution | Directory Open Access Journal |
| issn | 2234-2400 2234-2443 |
| language | English |
| last_indexed | 2024-03-11T13:47:07Z |
| publishDate | 2023-01-01 |
| publisher | Korean Society of Gastrointestinal Endoscopy |
| record_format | Article |
| series | Clinical Endoscopy |
| spelling | doaj.art-40861ac778754ffa97a3bf044f9e3d262023-11-02T10:05:18ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432023-01-0156111411810.5946/ce.2021.2037602Gastric wall abscess after endoscopic submucosal dissectionSeung Jung Yu0Sang Heon LeeJun Sik Yoon1Hong Sub Lee2Sam Ryong Jee3Department of Internal Medicine, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, KoreaDepartment of Internal Medicine, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, KoreaDepartment of Internal Medicine, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, KoreaDepartment of Internal Medicine, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, KoreaGastric wall abscess, a localized form of phlegmonous gastritis, is a rare complication of endoscopic resection. We report the first case of gastric wall abscess developing after endoscopic submucosal dissection in Korea. A 72-year-old woman visited our clinic to receive treatment for gastric adenoma. The patient successfully underwent endoscopic submucosal dissection with no complications. The final diagnosis was well-differentiated tubular adenocarcinoma. We performed follow-up endoscopy 10 weeks later and found a large subepithelial lesion on the posterior wall of the gastric antrum. Abdominal computed tomography revealed hypodense wall thickening and a 5 cm heterogenous multilobular mass in the submucosal layer of the gastric antrum. Submucosal invasion with mucin-producing adenocarcinomas could therefore not be excluded. The patient agreed to undergo additional gastrectomy due to the possibility of a highly malignant lesion. The final diagnosis was acute suppurative inflammation with the formation of multiple abscesses in the mural layers and omentum. The patient was discharged with no complications.http://www.e-ce.org/upload/pdf/ce-2021-203.pdfearly gastric cancerendoscopic submucosal resectiongastric wall abscessphlegmonous gastritis |
| spellingShingle | Seung Jung Yu Sang Heon Lee Jun Sik Yoon Hong Sub Lee Sam Ryong Jee Gastric wall abscess after endoscopic submucosal dissection Clinical Endoscopy early gastric cancer endoscopic submucosal resection gastric wall abscess phlegmonous gastritis |
| title | Gastric wall abscess after endoscopic submucosal dissection |
| title_full | Gastric wall abscess after endoscopic submucosal dissection |
| title_fullStr | Gastric wall abscess after endoscopic submucosal dissection |
| title_full_unstemmed | Gastric wall abscess after endoscopic submucosal dissection |
| title_short | Gastric wall abscess after endoscopic submucosal dissection |
| title_sort | gastric wall abscess after endoscopic submucosal dissection |
| topic | early gastric cancer endoscopic submucosal resection gastric wall abscess phlegmonous gastritis |
| url | http://www.e-ce.org/upload/pdf/ce-2021-203.pdf |
| work_keys_str_mv | AT seungjungyu gastricwallabscessafterendoscopicsubmucosaldissection AT sangheonlee gastricwallabscessafterendoscopicsubmucosaldissection AT junsikyoon gastricwallabscessafterendoscopicsubmucosaldissection AT hongsublee gastricwallabscessafterendoscopicsubmucosaldissection AT samryongjee gastricwallabscessafterendoscopicsubmucosaldissection |