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Phlegmonous Gastritis Presenting as Portal Venous Pneumatosis.
MedLine Citation:
PMID:  23544799     Owner:  NLM     Status:  Publisher    
Abstract Background: Phlegmonous gastritis is a rare and highly lethal primary bacterial infection of the stomach. The pathogenesis of this disease is understood poorly and no detailed description of its associated findings on computed tomography has been reported. Methods: Case report and literature review. Case Report: The authors describe an 84-year-old male with phlegmonous gastritis presenting as an abdominal catastrophe with portal venous pneumatosis observed on computed tomography. Conclusion: The association of portal venous air and related computed tomographic findings suggesting compromise of the gastric wall should be regarded with suspicion, and the possibility of phlegmonous gastritis should be entertained. Broad-spectrum antibiotic coverage should be instituted. Gram stain of the tissues of the stomach wall may help direct antibiotic therapy toward streptococcal infections as opposed to polymicrobial processes.
Yuen-Jong Liu; Jeffrey J Siracuse; Thomas Gage; Carl J Hauser
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-4-1
Journal Detail:
Title:  Surgical infections     Volume:  -     ISSN:  1557-8674     ISO Abbreviation:  Surg Infect (Larchmt)     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-4-2     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9815642     Medline TA:  Surg Infect (Larchmt)     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
1 Department of Surgery, Beth Israel Deaconess Medical Center , Harvard Medical School, Boston, Massachusetts.
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