Gastric outlet obstruction induced by a gastric wall abscess after cholecystitis

Intern Med. 2014;53(23):2675-8. doi: 10.2169/internalmedicine.53.2187. Epub 2014 Dec 1.

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.

Publication types

  • Case Reports

MeSH terms

  • Abscess / complications*
  • Abscess / microbiology
  • Abscess / 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*
  • Gastric Outlet Obstruction / microbiology
  • Gastric Outlet Obstruction / therapy
  • Gram-Positive Bacterial Infections / drug therapy*
  • Humans
  • Japan
  • Male
  • Suppuration / microbiology
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents