A case of phlegmonous gastritis complicated by stomach necrosis requiring gastrectomy

Abstract

Phlegmonous Gastritis (PG) is a rare and swiftly progressing disease that is often fatal. It typically involves severe invasion of the gastric wall by bacteria. Due to its vague symptoms, diagnosis is often delayed. When suspicious, CT abdomen and endoscopy will be helpful for early diagnosis. We describe a case of a 45-year-old patient admitted with gastroenteritis symptoms and rapidly progressed to severe septic shock; CT abdomen showed features of PG, which were further confirmed by endoscopy. He underwent a life-saving open salvage total gastrectomy, feeding jejunostomy, and oesophagostomy. Gastric pathology showed fungal gastritis (candidiasis) with mucosal infarction and transmural ischemic changes. Early diagnosis, surgical intervention, and antifungals saved our patient.

Keywords

• Gastritis
• Phlegmonous gastritis
• Sepsis
• Endoscopy
• CT abdomen
• streptococcus