Abstract
Phlegmonous gastritis (PG) is an uncommon, often fatal condition characterized by suppurative bacterial infection of the stomach. It may arise from a local or a disseminated hematogenous infection and may involve either a portion (localized) of the stomach or the entire stomach (diffuse). Although the pathogenesis is not precisely known, predisposing factors such as mucosal injury, alcoholism, achlorhydria, debilitation, and immunocompromise have been postulated as important etiologic factors. 1 Miller A.I. Smith B. Roger A.I. Phlegmonous gastritis. Gastroenterology. 1975; 68: 231-238 Abstract Full Text PDF PubMed Scopus (90) Google Scholar , 2 Stein L.B. Greenberg R.E. Ilardi C.F. Kurtz L. Bank S. Acute necrotizing gastritis in a patient with peptic ulcer disease. Am J Gastroenterol. 1989; 84: 1552-1554 PubMed Google Scholar , 3 Schultz M.J. van der Hulst R.W.M. Tytgat G.N.J. Acute phlegmonous gastritis. Gastrointest Endosc. 1996; 44: 80-83 Abstract Full Text Full Text PDF PubMed Scopus (40) Google Scholar Nevertheless, approximately 50% of patients were previously healthy and had no significant antecedent risk factors. Two unique cases with impressive endoscopic findings are reported, and English language publications over the last 30 years pertaining to PG are reviewed.
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