Idiopathic Phlebosclerotic Colitis: A Rare Entity of Chronic Ischemic Colitis.
10.4166/kjg.2014.63.3.183
- Author:
Jong Min CHOI
1
;
Kang Nyeong LEE
;
Hae Su KIM
;
Sang Ki LEE
;
Jung Gyu LEE
;
Sung Won LEE
;
Oh Young LEE
;
Ho Soon CHOI
Author Information
1. Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea. drkangmd@naver.com
- Publication Type:Case Reports
- Keywords:
Ischemic colitis;
Mesenteric veins;
Sclerosis;
Vascular calcification
- MeSH:
Adenocarcinoma, Mucinous/diagnosis;
Calcinosis/pathology;
Chronic Disease;
Colitis, Ischemic/*diagnosis;
Colonic Neoplasms/diagnosis;
Colonoscopy;
Diagnosis, Differential;
Female;
Humans;
Intestinal Mucosa/pathology;
Mesenteric Veins/pathology;
Radiography, Abdominal;
Sclerosis;
Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology
2014;63(3):183-186
- CountryRepublic of Korea
- Language:English
-
Abstract:
Colonic wall thickening is frequently encountered in various conditions, from acute or chronic inflammatory disease to colorectal carcinoma. Colonic wall thickening may be accompanied by calcifications in mucinous adenocarcinoma of the colon, leiomyosarcoma of the colon, schistosomiasis japonica, and phlebosclerotic colitis. Phlebosclerotic colitis is a rare entity of chronic ischemic colitis associated with sclerosis and fibrosis of mesenteric veins. Although its development is usually insidious, and, thus its diagnosis can be delayed, characteristic findings in phlebosclerotic colitis are calcifications of mesenteric veins as well as colonic wall thickening with calcifications. We report on a 71-year-old woman who presented with chronic diarrhea and intermittent hematochezia, who was first misdiagnosed as mucinous adenocarcinoma of the colon, but finally diagnosed as a rare entity of chronic ischemic colitis, phlebosclerotic colitis. Differential points of phlebosclerotic colitis from other diseases, including leiomyosarcoma and schistosomiasis japonica, are also described.
