A case report of stomach abscess and literature review

doi:10.3969/j.issn.1004-583X.2016.02.017

Abstract

Abstract: Objective To analyze the stomach abscess and summarize its etiology, clinical manifestation, diagnosis and treatment.Methods The cases of stomach abscess were searched from Chinese Journals Full-text Database, VIP Chinese Science and Technology Periodical Database and Wanfang Digital Peridical database published before August 2015, a total of 22 patients were reported in domestic, the general situation, etiology, clinical manifestation, diagnostic methods, treatment and prognosis were analysed.Results The incidence was higher in male (13/22); main symptoms included abdominal pain, chills, fever and abdominal mass; common cause included infection, stomach injury because of foreign matter and stomach surgery; diagnostic methods included gastroscope and endoscopic ultrasonography, CT and exploratory laparotomy; treatments included anti-infection symptomatic treatment and surgical treatment; twenty patients were cured and two patients died.Conclusion Stomach abscess is rare and can be cured by early diagnosis and medical treatment to obviate the risk of serious complications and surgery.

Key words: abscess, stomach, infection

CLC Number:

R632.5

Zhang Yan, Zou Baicang, Lu Xiaolan, Zhang Li, Guo Yunlei. A case report of stomach abscess and literature review[J]. Clinical Focus, 2016, 31(2): 204-206.

Add to citation manager EndNote|Ris|BibTeX

URL: https://huicui.hebmu.edu.cn/EN/10.3969/j.issn.1004-583X.2016.02.017

https://huicui.hebmu.edu.cn/EN/Y2016/V31/I2/204

References

[1] Chen CH,Yang CC,Yeh YH,et al.Gastric wall abscess presenting as a submucosal tumor:case report[J].Gastrointest Endose,2003,57(7)959-962.
[2] 李红.胃脓肿1例并文献复习[J].临床荟萃,2008,23(5):354.
[3] 李正安,杨建民,郑卫华,等.胃壁脓肿一例[J].中华消化内镜杂志,2006,23(6):473-474.
[4] 陈晓琴,楼雅依,蔡陈效.胃壁脓肿一例并文献复习[J].中华消化内镜杂志,2008,25(8):443.
[5] 李巍,张金顺,沈玲燕,等.胃镜活检后并发胃壁脓肿一例[J].中华消化内镜杂志,2010,27(5):266.
[6] Dohi O,Dohi M,Inoue K, et al. Endoscopic transgastric drainage of a gastric wall abscess after endoscopic submucosal dissection[J].World J Gastroenterol,2014,20(4):1119-1122.
[7] Bodnár Z, Bubán T, Várvlgyi C.Submucosal tumor like gastric wall abscess[J].Gastrointest Endosc,2004,59(4):599.
[8] Kim SB,Oh MJ,Lee SH,et al.Gastric subepithelial lesion complicated with abscess:case report and literature review[J]World J Gastroenterol,2015,21(20):6398-6403.
[9] 张毅,陈光辉,杨志惠.结核性腹膜炎伴胃壁结核性脓肿一例[J].中华消化杂志,2004,24(3):198.
[10] Oh WG,Kim MC,Yoon HJ,et al.Intramural gastric abscess caused by a toothpick presenting as a subepithelial tumor[J].Clin Endosc,2014,47(3):254-257.
[11] Kim GY,Ward J,Henessey B,et al.Phlegmonous gastritis:case report and review[J].Gastrointest Endosc,2005,61(1):168-174.
[12] Yang CW,Yen HH. Endoscopic sonography in the diagnosis and treatment of a gastric wall abscess:a case report and review of the literature[J].J Clin Ultrasound,2012,40(2):105-108.
[13] 戴宁,姜源.胃壁脓肿一例并文献复习[J].中华消化杂志,2006,28(8):566.
[14] Nakamuta K,Murata I,Kohno S. Image of the month. Gastric wall abscess[J].Gastroenterology,2003,124(3):599,870.
[15] 李益农,陆星华.消化内镜学[M].2版.北京:科学出版社,2004:313-314.
[16] 谢敏,裴敏莉.胃间质瘤的CT诊断12例分析[J].现代医学,2012,40(5):576-579.
[17] Alonso JV,Fuente Carillo JJ,Gutierrez Solis MA,et al.Gastric wall abscess presenting as thoracic pain:rare presentation of an old disease[J].Ann Gastroenterol,2013,26(4):360-362.
[18] 陈有为,黄伟,郑卫华,等.胃壁脓肿一例[J].中华消化杂志,2014,34(3):198-199.