Phlegmonous gastritis after biloma drainage: A case report and review of the literature

Figure 1 Abdominal computed tomography. A: Initial abdominal computed tomography (CT) showed a dilated common bile duct (blue arrow) and left subphrenic abscess (yellow arrows); B: Repeat abdominal CT after biloma drainage (green arrow) showed bile leakage (blue arrows) and enlarged wall of the stomach (yellow arrows).

Figure 2 Esophagogastroduodenoscopy. Esophagogastroduodenoscopy showed an edematous, hyperemic gastric mucosa with poor distensibility in the body of the stomach and the fundus of the stomach. A: The body of the stomach; B: The fundus of the stomach.

Figure 3 Endoscopic retrograde cholangiopancreatography. A: Dilated common bile duct (CBD) with one filling defect about 10 mm in size (yellow arrow); B: Endoscopic retrograde biliary drainage (yellow arrow) was performed for CBD stone-induced cholangitis.

Figure 4 Hemoxylin and eosin staining of gastric mucosal biopsy. A: At × 10 magnification, gastric submucosal and mucosal infiltration was observed (yellow circle); B: At × 20 magnification, clusters of lymphocytes, neutrophils, and plasma cells infiltrated into the submucosa.

Figure 5 Follow-up esophagogastroduodenoscopy. A normal gastric mucosa with improved distensibility of the stomach was observed in the body of the stomach and the fundus of the stomach. A: The body of the stomach; B: The fundus of the stomach.