Gastric outlet obstruction induced by a gastric wall abscess after cholecystitis.

Abstract

In December 2011, an 84-year-old Japanese man was admitted with severe cholecystitis. We treated the cholecystitis using antibiotics, and his symptoms improved. In March 2012, he was readmitted after experiencing a sudden bloating sensation and vomiting. We determined that a gastric wall abscess had protruded into the antrum. The gastric wall was adjacent to the gallbladder, and the gastric abscess was related to a known case of cholecystitis. Upper gastrointestinal endoscopy indicated that the abscess was under the mucous membrane of the gastric antrum. Pus, exuding from the abscess, was aspirated with an endoscope.

• Authors: Koichi Soga, Kyoichi Kassai, Kenji Itani, Nobuaki Yagi, Yuji Naito, Yoshito Itoh
• Journal: Internal medicine (Tokyo, Japan) (Intern Med) Vol. 53 Issue 23 Pg. 2675-8 ( 2014) ISSN: 1349-7235 [Electronic] Japan
• PMID: 25447648 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anti-Bacterial Agents

Topics

• Abscess (complications, microbiology, therapy)
• Administration, Intravenous
• Aged, 80 and over
• Anti-Bacterial Agents (therapeutic use)
• Biopsy, Fine-Needle
• Cholecystitis (complications)
• Enterococcus faecium (isolation & purification)
• Gastric Outlet Obstruction (etiology, microbiology, therapy)
• Gram-Positive Bacterial Infections (drug therapy)
• Humans
• Japan
• Male
• Suppuration (microbiology)
• Treatment Outcome