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Gastric wall abscess after endoscopic submucosal dissection

Gastric wall abscess, a localized form of phlegmonous gastritis, is a rare complication of endoscopic resection. We report the first case of gastric wall abscess developing after endoscopic submucosal dissection in Korea. A 72-year-old woman visited our clinic to receive treatment for gastric adenom...

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Autores principales: Yu, Seung Jung, Lee, Sang Heon, Yoon, Jun Sik, Lee, Hong Sub, Jee, Sam Ryong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Gastrointestinal Endoscopy 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9902681/
https://www.ncbi.nlm.nih.gov/pubmed/34974682
http://dx.doi.org/10.5946/ce.2021.203
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author Yu, Seung Jung
Lee, Sang Heon
Yoon, Jun Sik
Lee, Hong Sub
Jee, Sam Ryong
author_facet Yu, Seung Jung
Lee, Sang Heon
Yoon, Jun Sik
Lee, Hong Sub
Jee, Sam Ryong
author_sort Yu, Seung Jung
collection PubMed
description Gastric wall abscess, a localized form of phlegmonous gastritis, is a rare complication of endoscopic resection. We report the first case of gastric wall abscess developing after endoscopic submucosal dissection in Korea. A 72-year-old woman visited our clinic to receive treatment for gastric adenoma. The patient successfully underwent endoscopic submucosal dissection with no complications. The final diagnosis was well-differentiated tubular adenocarcinoma. We performed follow-up endoscopy 10 weeks later and found a large subepithelial lesion on the posterior wall of the gastric antrum. Abdominal computed tomography revealed hypodense wall thickening and a 5 cm heterogenous multilobular mass in the submucosal layer of the gastric antrum. Submucosal invasion with mucin-producing adenocarcinomas could therefore not be excluded. The patient agreed to undergo additional gastrectomy due to the possibility of a highly malignant lesion. The final diagnosis was acute suppurative inflammation with the formation of multiple abscesses in the mural layers and omentum. The patient was discharged with no complications.
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spelling pubmed-99026812023-02-16 Gastric wall abscess after endoscopic submucosal dissection Yu, Seung Jung Lee, Sang Heon Yoon, Jun Sik Lee, Hong Sub Jee, Sam Ryong Clin Endosc Case Report Gastric wall abscess, a localized form of phlegmonous gastritis, is a rare complication of endoscopic resection. We report the first case of gastric wall abscess developing after endoscopic submucosal dissection in Korea. A 72-year-old woman visited our clinic to receive treatment for gastric adenoma. The patient successfully underwent endoscopic submucosal dissection with no complications. The final diagnosis was well-differentiated tubular adenocarcinoma. We performed follow-up endoscopy 10 weeks later and found a large subepithelial lesion on the posterior wall of the gastric antrum. Abdominal computed tomography revealed hypodense wall thickening and a 5 cm heterogenous multilobular mass in the submucosal layer of the gastric antrum. Submucosal invasion with mucin-producing adenocarcinomas could therefore not be excluded. The patient agreed to undergo additional gastrectomy due to the possibility of a highly malignant lesion. The final diagnosis was acute suppurative inflammation with the formation of multiple abscesses in the mural layers and omentum. The patient was discharged with no complications. Korean Society of Gastrointestinal Endoscopy 2023-01 2022-01-03 /pmc/articles/PMC9902681/ /pubmed/34974682 http://dx.doi.org/10.5946/ce.2021.203 Text en Copyright © 2023 Korean Society of Gastrointestinal Endoscopy https://creativecommons.org/licenses/by-nc/3.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Yu, Seung Jung
Lee, Sang Heon
Yoon, Jun Sik
Lee, Hong Sub
Jee, Sam Ryong
Gastric wall abscess after endoscopic submucosal dissection
title Gastric wall abscess after endoscopic submucosal dissection
title_full Gastric wall abscess after endoscopic submucosal dissection
title_fullStr Gastric wall abscess after endoscopic submucosal dissection
title_full_unstemmed Gastric wall abscess after endoscopic submucosal dissection
title_short Gastric wall abscess after endoscopic submucosal dissection
title_sort gastric wall abscess after endoscopic submucosal dissection
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9902681/
https://www.ncbi.nlm.nih.gov/pubmed/34974682
http://dx.doi.org/10.5946/ce.2021.203
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