Abstract：
:Acute phlegmonous infection of the gastrointestinal tract is characterized by purulent inflammation of the submucosa and muscular layer with sparing of the mucosa. The authors report a rare case of acute diffuse phlegmonous esophagogastritis, which was well diagnosed based on the typical chest computed tomographic (CT) findings and was successfully treated. A 48-yr-old man presented with left chest pain and dyspnea for three days. Chest radiograph on admission showed mediastinal widening and bilateral pleural effusion. The patient became febrile and the amount of left pleural effusion is increased on follow-up chest radiograph. Left closed thoracostomy was performed with pus drainage. A CT diagnosis of acute phlegmonous esophagogastritis was suggested and a surgery was decided due to worsening of clinical condition of the patient and radiologic findings. Esophageal myotomies were performed and the submucosal layer was filled with thick, cheesy materials. The patient was successfully discharged with no postoperative complication.
journal_name
J Korean Med Scijournal_title
Journal of Korean medical scienceauthors
Kim HS,Hwang JH,Hong SS,Chang WH,Kim HJ,Chang YW,Kwon KH,Choi DLdoi
10.3346/jkms.2010.25.10.1532subject
Has Abstractpub_date
2010-10-01 00:00:00pages
1532-5issue
10eissn
1011-8934issn
1598-6357journal_volume
25pub_type
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