Phlegmonous gastritis developed during chemotherapy for acute lymphoblastic leukemia
DOI:
https://doi.org/10.69898/jhtm.v34.2024.272475Keywords:
Phlegmonous gastritis, Acute lymphoblastic leukemiaAbstract
Phlegmonous gastritis (PG) is an uncommon bacterial infection of the gastric wall, that progresses rapidly. The condition is characterized by purulent inflammation, which can spread throughout the entire gastro-intestinal tract and is associated with a high mortality rate. Early diagnosis and prompt antibiotic therapy are essential. We report a case of a 42-year-old female receiving a diagnosis with relapsed Philadelphia chromosome-negative B-cell, acute lymphoblastic leukemia, who developed acute severe epigastric pain and upper gastro-intestinal bleeding during induction chemotherapy. A contrast-enhanced tomography scan of the abdomen showed diffuse and significantly thickened gastric walls without evidence of bowel obstruction or ischemia. The patient subsequently received a diagnosis of PG and was successfully treated with antibiotics. This report focuses on the clinical and imaging findings, as well as the treatment outcomes of this rare disease
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