ISSN: 2149-2247 | E-ISSN: 2149-2549
Erciyes Medical Journal A Rare Complication of Acute Phlegmonous Gastritis: Right Gastroepiploic Artery Aneurysm and Abdominal Hemorrhage [Erciyes Med J]
Erciyes Med J. 2022; 44(6): 615-617 | DOI: 10.14744/etd.2021.42889

A Rare Complication of Acute Phlegmonous Gastritis: Right Gastroepiploic Artery Aneurysm and Abdominal Hemorrhage

Furkan Ufuk1, Mustafa Çelik2
1Department of Radiology, Pamukkale University Faculty of Medicine, Denizli, Türkiye
2Department of Gastroenterology, Pamukkale University Faculty of Medicine, Denizli, Türkiye

Background: Acute phlegmonous gastritis (APG) is an unusual disorder characterized by a diffuse suppurative infection of the stomach. Although the clinical features of APG are non-specific, it is a serious condition that may lead to life-threatening complications. Therefore, early diagnosis and treatment are crucial.
Case Report: A 67-year-old female presented with severe acute abdominal pain, high fever, vomiting, and clouding of consciousness. She had a history of diabetes mellitus for 18 years and was using insulin therapy. A physical examination revealed diffuse abdominal guarding. An abdominal computed tomography (CT) examination showed diffuse wall thickening affecting the entire stomach, which was suspicious for malignancy. Moreover, the CT revealed a gastroepiploic artery aneurysm and abdominal free fluid with high attenuation, suggesting abdominal hemorrhage. An urgent upper gastrointestinal endoscopy revealed dark-colored and thickened gastric mucosa with several ulcerations, consistent with acute phlegmonous gastritis (APG).
Conclusion: APG is a life-threatening condition. Early diagnosis and appropriate treatment are vital. APG should be kept in mind in the differential diagnosis of an acute abdomen, especially in diabetic or elderly patients.

Keywords: Abdominal pain, acute abdomen, computed tomography, hemoperitoneum, phlegmonous gastritis.

Furkan Ufuk, Mustafa Çelik. A Rare Complication of Acute Phlegmonous Gastritis: Right Gastroepiploic Artery Aneurysm and Abdominal Hemorrhage. Erciyes Med J. 2022; 44(6): 615-617

Corresponding Author: Furkan Ufuk, Türkiye
Manuscript Language: English
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