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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Gastrointestinal Endoscopy
2023
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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. |
format | Online Article Text |
id | pubmed-9902681 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Korean Society of Gastrointestinal Endoscopy |
record_format | MEDLINE/PubMed |
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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