CASES 748-749: GASTRIC WALL ABSCESS, Dr PHAN THANH HẢI,Dr PHAN THANH VIỆT BÌNH, MEDIC MEDICAL CENTER, HCMC, VIETNAM

 

2 cases of gastric wall abscesses were incidentally detected  with epigastric pain for one month and were failed in the urban medical management.

Case 748:

A 32 year-old man with epigastric pain for one month. 3 years before he went through a gastritis.

Ultrasound detected thickening of antrum wall with fluid collection inside may having foreign body and fatty liver.

Endoscopy represented a gastric wall abscess. 

MSCT confirmed a gastric wall thickening without foreign body and ruling out a gastric tumor.

By antibiotics  treatment the gastric abscess disappeared after one month.

Case 749:

A 22 year- old girl with epigastric pain for a half of month. 

Ultrasound detected gastric wall thickening maybe gastric polyp.

Endoscopy described a gastric wall abscess.

Biopsy results was gastric hyperplasia.

MSCT detected no gastric tumor, but gastric wall abscess was noted.

She took a medical management and remained well after one month.

Gastric wall abscess is a rare entity  and endoscopy may help detecting it.

Infected Streptococcus is the main source of infection (75%). And Staphylococcus, E.coli Hemophilus influenza, Pseudomonas. Candida [rare].

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