Phlegmonous gastritis after biloma drainage: A case report and review of the literature

Kai Chun Yang, Hsin Yu Kuo, Jui Wen Kang

研究成果: Article同行評審


Phlegmonous gastritis (PG) is a rare bacterial infection of the gastric submucosa and is related to septicemia, direct gastric mucosal injury, or the direct influence of infection or inflammation in neighboring organs. Here, we present a patient who had spontaneous biloma caused by choledocholithiasis and then PG resulting from bile leakage after biloma drainage. CASE SUMMARY A 79-year-old man with a medical history of hypertension had persistent diffuse abdominal pain for 4 d. Physical examination showed stable vital signs, icteric sclera, diffuse abdominal tenderness, and muscle guarding. Laboratory tests showed hyperbilirubinemia and bandemia. Contrast computed tomography (CT) of the abdomen showed a dilated common bile duct and left subphrenic abscess. Left subphrenic abscess drainage revealed bilious fluid, and infected biloma was confirmed. Repeated abdominal CT for persistent epigastralgia after drainage showed gastric wall thickening. Esophagogastroduodenoscopy (EGD) showed an edematous, hyperemic gastric mucosa with poor distensibility. The gastric mucosal culture yielded Enterococcus faecalis. PG was diagnosed based on imaging, EGD findings, and gastric mucosal culture. The patient recovered successfully with antibiotic treatment. CONCLUSION PG should be considered in patients with intraabdominal infection, especially from infected organs adjacent to the stomach.

頁(從 - 到)12430-12439
期刊World Journal of Clinical Cases
出版狀態Published - 2022 11月 26

All Science Journal Classification (ASJC) codes

  • 醫藥 (全部)


深入研究「Phlegmonous gastritis after biloma drainage: A case report and review of the literature」主題。共同形成了獨特的指紋。