PMC4531918_01
An abdominal CT scan demonstrates an abscess with the air-fluid level located outside the greater curvature of the stomach (arrow).
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A 49-year-old man was referred to our institution for further evaluation and management of an intraabdominal abscess with the air-fluid level located outside of the greater curvature of the stomach, demonstrated on the abdominal CT scan checked 5 days before the referral (Fig 1).
A gastroscopy shows a bulging external mass effect with purulent coating and mucosal friability around a fistula-like lesion (arrow) at the posterior wall of the gastric body.
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On the second day of hospitalization, an gastroscopy was performed which showed a bulging external mass effect with adherent purulent material and mucosal friability around a fistula-like lesion at the posterior wall of the mid-gastric body (Fig. 2).
A barium enema shows a hyperrotated cecum in the left upper quadrant and nonvisualization of the appendix with mucosal irregularity and focal narrowing at the surrounding distal transverse colon on the prone position (arrow).
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A follow-up gastroscopy demonstrates focal regenerating edematous mucosa without the bulging mass effect.
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A follow-up gastroscopy, showed a focal regenerating edematous mucosa without the bulging effect noted in the initial examination (Fig. 4).
A follow-up CT scan shows that the abscess pocket subsided with only surrounding inflammatory change (arrow)
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A follow-up CT scan disclosed the abscess pocket had subsided with surrounding inflammatory change only(Fig. 5).