povidone-iodine and Gastritis

Phlegmonous gastritis is an unusual infection of the gastric wall, which is extremely rare and associated with a poor prognosis. Here, we report the case of a 65-year-old male patient with a history of splenectomy, who had phlegmonous gastritis after esophagectomy. Computed tomography revealed a remarkably distended thoracic stomach, and the gastric wall was locally thickened. Gastric mucosa was red and white in color and significantly edematous on gastroscopy. He was successfully treated with a combination of antibiotics and povidone-iodide intraluminal lavage. In addition to this case, the clinical presentations, imaging examinations as well as treatments of phlegmonous gastritis are discussed.

Topics: Aged; Anti-Bacterial Agents; Anti-Infective Agents, Local; Combined Modality Therapy; Esophagectomy; Gastric Mucosa; Gastritis; Gastroscopy; Humans; Male; Povidone-Iodine; Predictive Value of Tests; Therapeutic Irrigation; Tomography, X-Ray Computed; Treatment Outcome