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Phlegmonous Gastritis Yugo Iwaya 1 , Tetsuya Ito 1 , Suguru Yoneda 1 , Taiji Akamatsu 2 1Department of Internal Medicine, Division of Gastroenterology, Shinshu University School of Medicine, Matsumoto, Japan 2Department of Endoscopy, Shinshu University Hospital, Matsumoto, Japan Keyword: 胃蜂窩織炎 , スキルス胃癌 , 鑑別診断 , 皺襞腫大 pp.503-506
Published Date 2010/4/25
DOI https://doi.org/10.11477/mf.1403101889
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 Phlegmonous gastritis(PG)is a nonspecific suppurative inflammation disease arising from the submucosal layer, and extending to the full thickness of the stomach. PG is categorized as primary, secondary or idiopathy according to etiology. Streptococcus spp. are the most common pathogens responsible for PG. The finding of a thickening of the gastric wall in abdominal CT is useful in the differential diagnosis of this acute abdominal condition. Upper gastrointestinal endoscopy reveals giant folds and a poorly distensible gastric wall, so these findings are similar to the ones of scirrhous gastric cancer(SGC). To distinguish between PG and SGC, we should pay attention to the differences in findings of the clinical symptoms and courses, blood examinations, endoscopy, endoscopic ultrasonography, and histological examination of biopsy specimens. It is usually easy to make a diagnosis of acute type-PG, but some patients with chronic type-PG who were misdiagnosed as SCG and received gastrectomy have been reported. Chronic type-PG is rare, but we must keep it in consideration because chronic type-PG shows similar clinical symptoms and courses to SGC.


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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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