DOI QR코드

DOI QR Code

Phlegmonous Esophagitis Treated with Internal Drainage and Feeding Jejunostomy

  • Woo, Won Gi (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Do, Young Woo (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Lee, Geun Dong (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Lee, Sung Soo (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine)
  • Received : 2016.12.19
  • Accepted : 2017.05.09
  • Published : 2017.12.05

Abstract

We report the case of a 67-year-old woman presenting with epigastric pain. Computed tomography identified diffuse phlegmonous esophagitis. Esophagogastroduodenoscopy revealed multiple perforations in the mucosal layer of the esophagus. A large amount of pus was drained internally through the gut. The patient was treated with antibiotics and early jejunostomy feeding. Although phlegmonous esophagitis is a potentially fatal disease, the patient was successfully treated medically with only a minor complication (esophageal stricture).

Keywords

References

  1. Kim NY, Park JS, Lee KJ, Yun HK, Kim JS. A case of acute phlegmonous gastritis causing gastroparesis and cured with medical treatment alone. Korean J Gastroenterol 2011;57:309-14. https://doi.org/10.4166/kjg.2011.57.5.309
  2. Yun CH, Cheng SM, Sheu CI, Huang JK. Acute phlegmonous esophagitis: an unusual case (2005: 8b). Eur Radiol 2005;15:2380-1. https://doi.org/10.1007/s00330-005-2842-6
  3. Kim GY, Ward J, Henessey B, et al. Phlegmonous gastritis: case report and review. Gastrointest Endosc 2005;61:168-74. https://doi.org/10.1016/S0016-5107(04)02217-5
  4. Jung C, Choi YW, Jeon SC, Chung WS. Acute diffuse phlegmonous esophagogastritis: radiologic diagnosis. AJR Am J Roentgenol 2003;180:862-3. https://doi.org/10.2214/ajr.180.3.1800862
  5. Kim HS, Hwang JH, Hong SS, et al. Acute diffuse phlegmonous esophagogastritis: a case report. J Korean Med Sci 2010;25:1532-5. https://doi.org/10.3346/jkms.2010.25.10.1532
  6. Chang PC, Wang WL, Hwang TZ, Cheng YJ. Intramural dissection with mucosal rupture alleviating phlegmonous esophagitis. Eur J Cardiothorac Surg 2012;41:442-4. https://doi.org/10.1016/j.ejcts.2011.06.027
  7. Karimata H, Nishimaki T, Oshita A, et al. Acute phlegmonous esophagitis as a rare but threatening complication of chemoradiotherapy: report of a case. Surg Today 2014;44:1147-51. https://doi.org/10.1007/s00595-013-0536-2

Cited by

  1. Acute Phlegmonous Esophagogastritis vol.73, pp.4, 2017, https://doi.org/10.4166/kjg.2019.73.4.239
  2. Endoscopic Intraluminal Drainage: An Alternative Treatment for Phlegmonous Esophagitis vol.52, pp.3, 2017, https://doi.org/10.5090/kjtcs.2019.52.3.165
  3. Deep Neck Infection Complicated by Phlegmonous Esophagitis and Mediastinitis vol.111, pp.6, 2017, https://doi.org/10.1016/j.athoracsur.2020.08.101