A Rare Complication of Acute Phlegmonous Gastritis: Right Gastroepiploic Artery Aneurysm and Abdominal Hemorrhage
ERCIYES MEDICAL JOURNAL(2022)
Abstract
Background: Acute phlegmonous gastritis (APG) is an unusual disorder characterized by a diffuse suppurative infection of the stomach. Although the clinical features of APG are non-specific, it is a serious condition that may lead to life-threatening complications. Therefore, early diagnosis and treatment are crucial.Case Report: A 67-year-old female presented with severe acute abdominal pain, high fever, vomiting, and clouding of consciousness. She had a history of diabetes mellitus for 18 years and was using insulin therapy. A physical examination revealed diffuse abdominal guarding. An abdominal computed tomography (CT) examination showed diffuse wall thick-ening affecting the entire stomach, which was suspicious for malignancy. Moreover, the CT revealed a gastroepiploic artery aneurysm and abdominal free fluid with high attenuation, suggesting abdominal hemorrhage. An urgent upper gastrointestinal endoscopy revealed dark-colored and thickened gastric mucosa with several ulcerations, consistent with acute phlegmonous gastritis (APG).Conclusion: APG is a life-threatening condition. Early diagnosis and appropriate treatment are vital. APG should be kept in mind in the differential diagnosis of an acute abdomen, especially in diabetic or elderly patients.
MoreTranslated text
Key words
Abdominal pain,acute abdomen,computed tomography,hemoperitoneum,phlegmonous gastritis
AI Read Science
Must-Reading Tree
Example
![](https://originalfileserver.aminer.cn/sys/aminer/pubs/mrt_preview.jpeg)
Generate MRT to find the research sequence of this paper
Chat Paper
Summary is being generated by the instructions you defined