A Case of Intramural Gastric Wall Abscess, a Rare Disease Successfully Treated with Endoscopic Incision and Drainage

Kyung Rok Kim, Ki Nam Shim, A. Reum Choe, Min Jong Lee, Ye Hyun Park, Eun Mi Song, Chung Hyun Tae, Sung Ae Jung

Research output: Contribution to journalArticlepeer-review

Abstract

Gastric wall abscess is a rare condition characterized by a purulent inflammatory process resulting in the formation of a pocket of pus in the stomach. As the mucosa is usually intact, it requires various tools such as endoscopic ultrasonography or computed tomography for the differential diagnosis to rule out more common subepithelial tumors. Even after the diagnosis, the treatment for gastric wall abscess was previously restricted to surgical resection in combination with antibiotics. Currently, in order to avoid unnecessary surgery, the alternative method of initial treatment with an endoscopic approach is recommended. It also helps to choose appropriate antibiotics with confirmation of the pathogen by drainage. There are few reports that describe the detailed processing of the endoscopic drainage, and there is no consensus on the treatment. The pathogens that cause gastric wall abscess are usually Streptococci, Staphylococci, and Escherichia coli. There is only one case reported to be caused by Candida albicans. This is the first report of Elizabethkingia anopheles as the pathogen of the gastric wall abscess. Here, we report a case of gastric wall abscess in a 75-year-old man, safely treated by endoscopic drainage and antibiotics, confirmed by isolating the contents of the abscess.

Original languageEnglish
Pages (from-to)950-953
Number of pages4
JournalGut and Liver
Volume17
DOIs
StatePublished - 2023

Bibliographical note

Publisher Copyright:
Copyright © Gut and Liver.

Keywords

  • Abdominal abscess
  • Case reports
  • Phlegmon
  • Suction drainage

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