Post-endoscopic submucosal dissection phlegmonous enteritis: A case report and literature review
Background: This study presents the initial case of phlegmonous enteritis following endoscopic submucosal dissection (ESD), a rare and potentially fatal complication. Additionally, a comprehensive review of relevant literature is provided. Case report: A 66-year-old female patient, diagnosed with Ha...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-01-01
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| Series: | Heliyon |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S240584402310675X |
| _version_ | 1797337021915594752 |
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| author | Hui Tian Pengchao Fan Fuwen Luo Chunmeng Jiang Kun Guo Najin Gu Jie Lu Jiawen Luo Zhiguo Wang Chengjuan Xing |
| author_facet | Hui Tian Pengchao Fan Fuwen Luo Chunmeng Jiang Kun Guo Najin Gu Jie Lu Jiawen Luo Zhiguo Wang Chengjuan Xing |
| author_sort | Hui Tian |
| collection | DOAJ |
| description | Background: This study presents the initial case of phlegmonous enteritis following endoscopic submucosal dissection (ESD), a rare and potentially fatal complication. Additionally, a comprehensive review of relevant literature is provided. Case report: A 66-year-old female patient, diagnosed with Hashimoto's thyroiditis and thrombocytopenia, underwent ESD to address a laterally spreading tumor located in the ascending colon. After the procedure, the patient manifested abdominal pain and a high fever, was diagnosed with peritonitis, necessitating an emergency exploratory laparotomy and right hemicolectomy. Subsequent histological examination indicated a significant presence of neutrophil infiltration across all layers of the intestines. The ascites culture yielded the growth of Escherichia coli. Literature review: A search was conducted in the PubMed database to identify case reports conforming to the definition of phlegmonous enteritis proposed by Rokitansky et al. We retrieved about 30 studies regarding phlegmonous enteritis from 1951 to 2022, with around 39 cases. Among these, only 28 patients had comprehensive medical data available. Subsequently, an examination of the literature was undertaken to explore the pathogenesis, prevention, and treatment of phlegmonous enteritis. Conclusion: The possibility of phlegmonous enteritis should be taken into consideration in cases of unexplained acute abdomen, particularly in patients with compromised immunity, in order to provide active surgical and antibiotic interventions. |
| first_indexed | 2024-03-08T09:03:21Z |
| format | Article |
| id | doaj.art-50968ceb212c44a3a121798ddd9f5d4e |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-03-08T09:03:21Z |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-50968ceb212c44a3a121798ddd9f5d4e2024-02-01T06:32:00ZengElsevierHeliyon2405-84402024-01-01101e23467Post-endoscopic submucosal dissection phlegmonous enteritis: A case report and literature reviewHui Tian0Pengchao Fan1Fuwen Luo2Chunmeng Jiang3Kun Guo4Najin Gu5Jie Lu6Jiawen Luo7Zhiguo Wang8Chengjuan Xing9Department of Pathology, The Second Affiliated Hospital of Dalian Medical University, Dalian, 116027, China; Department of Emergency Medicine, Dalian Municipal Central Hospital Affiliated of Dalian University of Technology, Dalian, 116000, ChinaHospital Infection Management Department, The Second Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, 116027, ChinaDepartment of Acute Abdomen, General Surgery, The Second Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, 116027, ChinaDepartment of Gastroenterology, The Second Affiliated Hospital of Dalian Medical University, Dalian, 116027, ChinaDepartment of Pathology, The Second Affiliated Hospital of Dalian Medical University, Dalian, 116027, ChinaDepartment of Pathology, The Second Affiliated Hospital of Dalian Medical University, Dalian, 116027, ChinaDepartment of Pathology, The Second Affiliated Hospital of Dalian Medical University, Dalian, 116027, ChinaDepartment of Radiology, The Second Affiliated Hospital of Dalian Medical University, Dalian, 116027, ChinaDepartment of Gastroenterology, The Second Affiliated Hospital of Dalian Medical University, Dalian, 116027, China; Corresponding author. Department of Gastroenterology, The Second Affiliated Hospital of Dalian Medical University, 467 Zhongshan Road, Dalian, 116027, Liaoning, China.Department of Pathology, The Second Affiliated Hospital of Dalian Medical University, Dalian, 116027, China; Corresponding author. Department of Pathology, The Second Affiliated Hospital of Dalian Medical University, 467 Zhongshan Road, Dalian, 116027, Liaoning, China.Background: This study presents the initial case of phlegmonous enteritis following endoscopic submucosal dissection (ESD), a rare and potentially fatal complication. Additionally, a comprehensive review of relevant literature is provided. Case report: A 66-year-old female patient, diagnosed with Hashimoto's thyroiditis and thrombocytopenia, underwent ESD to address a laterally spreading tumor located in the ascending colon. After the procedure, the patient manifested abdominal pain and a high fever, was diagnosed with peritonitis, necessitating an emergency exploratory laparotomy and right hemicolectomy. Subsequent histological examination indicated a significant presence of neutrophil infiltration across all layers of the intestines. The ascites culture yielded the growth of Escherichia coli. Literature review: A search was conducted in the PubMed database to identify case reports conforming to the definition of phlegmonous enteritis proposed by Rokitansky et al. We retrieved about 30 studies regarding phlegmonous enteritis from 1951 to 2022, with around 39 cases. Among these, only 28 patients had comprehensive medical data available. Subsequently, an examination of the literature was undertaken to explore the pathogenesis, prevention, and treatment of phlegmonous enteritis. Conclusion: The possibility of phlegmonous enteritis should be taken into consideration in cases of unexplained acute abdomen, particularly in patients with compromised immunity, in order to provide active surgical and antibiotic interventions.http://www.sciencedirect.com/science/article/pii/S240584402310675XPhlegmonous enteritisHashimoto's thyroiditisThrombocytopeniaESDCase report |
| spellingShingle | Hui Tian Pengchao Fan Fuwen Luo Chunmeng Jiang Kun Guo Najin Gu Jie Lu Jiawen Luo Zhiguo Wang Chengjuan Xing Post-endoscopic submucosal dissection phlegmonous enteritis: A case report and literature review Heliyon Phlegmonous enteritis Hashimoto's thyroiditis Thrombocytopenia ESD Case report |
| title | Post-endoscopic submucosal dissection phlegmonous enteritis: A case report and literature review |
| title_full | Post-endoscopic submucosal dissection phlegmonous enteritis: A case report and literature review |
| title_fullStr | Post-endoscopic submucosal dissection phlegmonous enteritis: A case report and literature review |
| title_full_unstemmed | Post-endoscopic submucosal dissection phlegmonous enteritis: A case report and literature review |
| title_short | Post-endoscopic submucosal dissection phlegmonous enteritis: A case report and literature review |
| title_sort | post endoscopic submucosal dissection phlegmonous enteritis a case report and literature review |
| topic | Phlegmonous enteritis Hashimoto's thyroiditis Thrombocytopenia ESD Case report |
| url | http://www.sciencedirect.com/science/article/pii/S240584402310675X |
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