PHLEGMONOUS GASTRITIS AS A MANIFESTATION OF SEPSIS

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Abstract
Phlegmonous gastritis, a rare but dramatic lesion, is presented as a manifestation of generalized sepsis with localization in the stomach wall, particularly the submucosa. Three cases of phlegmonous gastritis favoring this concept are outlined. Phlegmonous gastritis is compared with the more common lesion, phlegmonous cholecystitis, from the standpoint of each representing a manifestation of sepsis. A case of phlegmonous inflammation of the gall bladder in a known case of sepsis originating from a pyelonephritis due to Bacterium coli is outlined to illustrate this concept. Another instance of outstanding edema of the submucosa of the stomach in a case of meningococcemia (Waterhouse-Friderichsen syndrome) is presented, with the lesion in the submucosa being comparable with the involvement of the meninges. Phlegmonous gastritis may originate as a local invasion from the lumen.

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