Chronic Phlegmonous Gastritis -Report of Two Cases-

Toshimi Sakai, Motonori Saku*, Hideaki Naitoh, Ryunosuke Kumashiro, Sadamitsu Inutsuka

Second Department of Surgery, School of Medicine, Fukuoka University
*National Fukuoka Central Hospital

Two cases of chronic phlegmonous gastritis treated surgically after pancreatitis are reported. The patients were 65-year-old man and 70-year-old man, who underwent total gastrectomy under the preoperative diagnosis of gastric carcinoma of the scirrhous type. The intraoperative finding confirmed the diagnosis of gastric carcinoma because of the markedly thickened and rigid gastric wall tightly adhering to the pancreas body. However the histological diagnosis of the resected specimen of the stomach was phlegmonous gastritis of the chronic type. Chronic phlegmonous gastritis is exceeding rare and it is often difficult to differentiate it from gastric carcinoma preoperatively. It is considered that gastrectomy is the best method for treating chronic phlegmonous gastritis.

Key words
chronic phlegmonous gastritis, scirrhous carcinoma, pancreatitis

Reprint requests
Toshimi Sakai Second Department of Surgery, School of Medicine, Fukuoka University
7-45-1 Nanakuma, Jounann-ku, Fukuoka, 814-01 JAPAN

Accepted
November 8, 1989

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