Phlebosclerotic colitis: A case report and review of the literature
- Authors:
- Yue‑Lin Fang
- Ho‑Chi Hsu
- Yenn‑Hwei Chou
- Chin‑Chu Wu
- Yuh‑Yu Chou
View Affiliations
Affiliations: Division of General Surgery, Department of Surgery, Shin Kong Wu Ho‑Su Memorial Hospital, Taipei 111, Taiwan, R.O.C., Department of Radiology, Shin Kong Wu Ho‑Su Memorial Hospital, Taipei 111, Taiwan, R.O.C., Department of Pathology, Shin Kong Wu Ho‑Su Memorial Hospital, Taipei 111, Taiwan, R.O.C.
- Published online on: January 20, 2014 https://doi.org/10.3892/etm.2014.1492
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Pages:
583-586
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Abstract
Phlebosclerotic colitis (PC) is a rare but potentially life‑threatening disease. The initial presentation may include non‑specific symptoms, such as vomiting, constipation and abdominal pain; however, intestinal stenosis, gangrene and perforation may occur without appropriate management. The present report describes the case of a 56‑year‑old male with abdominal pain and constipation. Imaging studies revealed thread‑like calcifications involving almost the entire colon, which had markedly progressed over a three‑year period, and changes consistent with colonic ischemia. Angiography revealed decreased blood flow in the mesenteric veins. The patient underwent emergent subtotal colectomy, and pathological examination revealed gangrene of the colon and calcifications of the mesenteric veins. The patient's postoperative course was uneventful. In conclusion, PC is a potentially life‑threatening condition that may be diagnosed by the presence of serpentine calcifications on imaging studies. Management depends on the severity of the disease, ranging from close follow‑up to prompt surgical intervention.
View References
|
1
|
Feuerstadt P and Brandt LJ: Colon
ischemia: recent insights and advances. Curr Gastroenterol Rep.
12:383–390. 2010. View Article : Google Scholar : PubMed/NCBI
|
|
2
|
Iwashita A, Yao T, Schlemper RJ, et al:
Mesenteric phlebosclerosis: a new disease entity causing ischemic
colitis. Dis Colon Rectum. 46:209–220. 2003. View Article : Google Scholar : PubMed/NCBI
|
|
3
|
Kwok KY, Lo SSM, Fung HS, Fan TW and Wong
WK: Mesenteric phlebosclerosis - features on plain radiograph and
computed tomography scan. J HK Coll Radiol. 12:136–138. 2010.
|
|
4
|
Nishimura G, Nagai N, Ninomiya I, et al:
Chronic ischemic lesions of the colon caused by phlebosclerosis of
ileocolic mesenteric vein. Dig Endosc. 16:169–171. 2004. View Article : Google Scholar
|
|
5
|
Mikami T, Hatate K, Kokuba Y, Nemoto Y,
Tanigawa H and Okayasu I: A case of phlebosclerotic colitis:
vasculitis as a possible origin. Kitasato Med J. 35:75–79.
2005.
|
|
6
|
Markos V, Kelly S, Yee WC, Davis JE,
Cheifetz RE and Alsheikh A: Phlebosclerotic colitis: imaging
findings of a rare entity. AJR Am J Roentgenol. 184:1584–1586.
2005. View Article : Google Scholar : PubMed/NCBI
|
|
7
|
Miyazaki M, Nakamura S and Matsumoto T:
Idiopathic mesenteric phlebosclerosis occurring in a wife and her
husband. Clin Gastroenterol Hepatol. 7:e32–e33. 2009. View Article : Google Scholar : PubMed/NCBI
|
|
8
|
Ho TJ, Cheung CW, Wong WM and Chan FL:
Phlebosclerotic colitis: an unusual cause of ischaemic colitis in a
65-year-old man. J HK Coll Radiol. 8:53–58. 2005.
|
|
9
|
Chang KM: New histologic findings in
idiopathic mesenteric phlebosclerosis: clues to its pathogenesis
and etiology - probably ingested toxic agent-related. J Chin Med
Assoc. 70:227–235. 2007. View Article : Google Scholar
|
|
10
|
Yu CJ, Wang HH, Chou JW, et al:
Phlebosclerotic colitis with nonsurgical treatment. Int J
Colorectal Dis. 24:1241–1242. 2009. View Article : Google Scholar : PubMed/NCBI
|
