Clinical Communication to the Editor| Volume 131, ISSUE 8, e327-e329, August 2018

Acute Epigastric Pain as the Cause of Urgent Gastrectomy in a Healthy Patient

      A 63-year-old man with no surgical history, taking no medication,was referred to the emergency department for epigastric pain and nausea that had started afew hours earlier. A sore throat had begun 24hours previously.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to The American Journal of Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Starr A
        • Wilson JM
        Phlegmonous gastritis.
        Ann Surg. 1957; 145: 88-93
        • Rada Palomino A
        • Muñoz Duyos A
        • Pérez Romero N
        • et al.
        Phlegmonous gastritis: a rare entity as a differential diagnostic of an acute abdomen. Description of a case and a bibliographic review.
        Rev Esp Enferm Dig. 2014; 6: 418-424
        • Fan J-Q
        • Liu D-R
        • Li C
        • et al.
        Phlegmonous gastritis after esophagectomy: a case report.
        World J Gastroenterol. 2013; 19: 1330-1332
        • Yu HH
        • Tsang S
        • Cheung TT
        • et al.
        Surviving emphysematous gastritis after hepatectomy.
        Case Reports Hepatol. 2013; (Article ID 106383)
        • Itonaga M
        • Ueda K
        • Ichinose M
        Phlegmonous gastritis caused by endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA).
        Dig Endosc. 2012; 24: 488
        • Paik DC
        • Larson JD
        • Johnson SA
        • et al.
        Phlegmonous gastritis and group A streptococcal toxic shock syndrome in a patient following functional endoscopic sinus surgery.
        Surg Infect (Larchmt). 2010; 11: 545-549
        • Ajibe H
        • Osawa H
        • Yoshizawa M
        • et al.
        Phlegmonous gastritis after endoscopic submucosal dissection for early gastric cancer.
        Therap Adv Gastroenterol. 2008; 1: 91-95
        • Lee BS
        • Kim SM
        • Seong JK
        • et al.
        Phlegmonous gastritis after endoscopic mucosal resection.
        Endoscopy. 2005; 37: 490-493
        • Radhi J
        • Kamouna M
        • Nyssen J
        Phlegmonous gastritis following coronary bypass surgery.
        Can J Gastroenterol. 1999; 13: 837-839
        • Lifton LJ
        • Schlossberg D
        Phlegmonous gastritis after endoscopic polypectomy.
        Ann Intern Med. 1982; 97: 373-375
        • Kato K
        • Tominaga K
        • Sugimori S
        • et al.
        Successful treatment of early-diagnosed primary phlegmonous gastritis.
        Intern Med. 2015; 54: 2863-2866