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      Phlegmonous Esophagitis Treated with Internal Drainage and Feeding Jejunostomy

      case-report

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          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).

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          Most cited references7

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          Phlegmonous gastritis: case report and review.

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            Acute Diffuse Phlegmonous Esophagogastritis: A Case Report

            Acute phlegmonous infection of the gastrointestinal tract is characterized by purulent inflammation of the submucosa and muscular layer with sparing of the mucosa. The authors report a rare case of acute diffuse phlegmonous esophagogastritis, which was well diagnosed based on the typical chest computed tomographic (CT) findings and was successfully treated. A 48-yr-old man presented with left chest pain and dyspnea for three days. Chest radiograph on admission showed mediastinal widening and bilateral pleural effusion. The patient became febrile and the amount of left pleural effusion is increased on follow-up chest radiograph. Left closed thoracostomy was performed with pus drainage. A CT diagnosis of acute phlegmonous esophagogastritis was suggested and a surgery was decided due to worsening of clinical condition of the patient and radiologic findings. Esophageal myotomies were performed and the submucosal layer was filled with thick, cheesy materials. The patient was successfully discharged with no postoperative complication.
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              Acute diffuse phlegmonous esophagogastritis: radiologic diagnosis.

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                Author and article information

                Journal
                Korean J Thorac Cardiovasc Surg
                Korean J Thorac Cardiovasc Surg
                The Korean Journal of Thoracic and Cardiovascular Surgery
                The Korean Society for Thoracic and Cardiovascular Surgery
                2233-601X
                2093-6516
                December 2017
                05 December 2017
                : 50
                : 6
                : 453-455
                Affiliations
                Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine
                Author notes
                Corresponding author: Sung Soo Lee, Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, 211 Eonju-ro, Gangnam-gu, Seoul 06273, Korea, (Tel) 82-2-2019-3381 (Fax) 82-2-3461-8282 (E-mail) chestlee@ 123456yuhs.ac
                Article
                kjtcv-50-453
                10.5090/kjtcs.2017.50.6.453
                5716649
                29234613
                97f506d5-77ce-4140-aaa0-fbcbf5d8f27d
                Copyright © 2017 by The Korean Society for Thoracic and Cardiovascular Surgery. All rights Reserved.

                This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 19 December 2016
                : 27 April 2017
                : 09 May 2017
                Categories
                Case Report

                Surgery
                phlegmonous esophagitis,drainage,esophagitis
                Surgery
                phlegmonous esophagitis, drainage, esophagitis

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