Gastric wall abscess after endoscopic submucosal dissection
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초록
Gastric wall abscess, a localized form of phlegmonous gastritis, is a rare complication of endoscopic resection. We report the first caseof gastric wall abscess developing after endoscopic submucosal dissection in Korea. A 72-year-old woman visited our clinic to receivetreatment for gastric adenoma. The patient successfully underwent endoscopic submucosal dissection with no complications. The finaldiagnosis was well-differentiated tubular adenocarcinoma. We performed follow-up endoscopy 10 weeks later and found a large subepitheliallesion on the posterior wall of the gastric antrum. Abdominal computed tomography revealed hypodense wall thickening and a5 cm heterogenous multilobular mass in the submucosal layer of the gastric antrum. Submucosal invasion with mucin-producing adenocarcinomascould therefore not be excluded. The patient agreed to undergo additional gastrectomy due to the possibility of a highlymalignant lesion. The final diagnosis was acute suppurative inflammation with the formation of multiple abscesses in the mural layersand omentum. The patient was discharged with no complications.
Abstract
Gastric wall abscess, a localized form of phlegmonous gastritis, is a rare complication of endoscopic resection. We report the first caseof gastric wall abscess developing after endoscopic submucosal dissection in Korea. A 72-year-old woman visited our clinic to receivetreatment for gastric adenoma. The patient successfully underwent endoscopic submucosal dissection with no complications. The finaldiagnosis was well-differentiated tubular adenocarcinoma. We performed follow-up endoscopy 10 weeks later and found a large subepitheliallesion on the posterior wall of the gastric antrum. Abdominal computed tomography revealed hypodense wall thickening and a5 cm heterogenous multilobular mass in the submucosal layer of the gastric antrum. Submucosal invasion with mucin-producing adenocarcinomascould therefore not be excluded. The patient agreed to undergo additional gastrectomy due to the possibility of a highlymalignant lesion. The final diagnosis was acute suppurative inflammation with the formation of multiple abscesses in the mural layersand omentum. The patient was discharged with no complications.
참고문헌 (13)
- Ono H, "Guidelines for endoscopic submucosal dissection and endoscopic mucosal resection for early gastric cancer(second edition)", Dig Endosc, 33, pp.4~20 (2021)
- Kim GY, "Phlegmonous gastritis : case report and review", Gastrointest Endosc, 61, pp.168~174 (2005)
- Schultz MJ, "Acute phlegmonous gastritis", Gastrointest Endosc, 44, pp.80~83 (1996)
- Eley A, "A case of localized gastric abscess", Br J Surg, 47, pp.97~98 (1959)
- Choong NWW, "Intramural gastric abscess : case history and review", Gastrointest Endosc, 58, pp.627~629 (2003)
- Ajibe H, "Phlegmonous gastritis after endoscopic submucosal dissection for early gastric cancer", Therap Adv Gastroenterol, 1, pp.91~95 (2008)
- Dohi O, "Endoscopic transgastric drainage of a gastric wall abscess after endoscopic submucosal dissection", World J Gastroenterol, 20, pp.1119~1122 (2014)
- Matsuura K, "Medical treatment of postendoscopic submucosal dissection phlegmonous gastritis in an elderly diabetic woman with myelodysplastic syndrome", Case Rep Gastrointest Med, 2018, pp.8046817~ (2018)
- Lee BS, "Phlegmonous gastritis after endoscopic mucosal resection", Endoscopy, 37, pp.490~493 (2005)
- 정지윤, "Perigastric Abscess as a Complication of Endoscopic Submucosal Dissection for Early Gastric Cancer: First Case Report", 대한소화기학회지, 67(3), pp.142~145 (2016), 대한소화기학회
- Asayama N, "A rare case of delayed perigastric abscess after curative resection of early gastric cancer by uncomplicated endoscopic submucosal dissection : successful treatment with endoscopic ultrasound-guided drainage", Intern Med, 60, pp.1383~1387 (2021)
- Miyaguchi K, "Intraperitoneal abscess as a postoperative complication of gastric endoscopic submucosal dissection", Intern Med, 60, pp.2777~2781 (2021)
- Asrani A, "Intramural gastric abscess--preoperative diagnosis with CT", Emerg Radiol, 14, pp.253~256 (2007)