Phlebosclerotic colitis: A case report and review of the literature

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...

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Veröffentlicht in:Experimental and therapeutic medicine 2014-03, Vol.7 (3), p.583-586
Hauptverfasser: FANG, YUE-LIN, HSU, HO-CHI, CHOU, YENN-HWEI, WU, CHIN-CHU, CHOU, YUH-YU
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container_issue 3
container_start_page 583
container_title Experimental and therapeutic medicine
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creator FANG, YUE-LIN
HSU, HO-CHI
CHOU, YENN-HWEI
WU, CHIN-CHU
CHOU, YUH-YU
description 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.
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subjects Abdomen
calcifications
Care and treatment
Case reports
Case studies
Colitis
Colon
Diagnosis
ischemic colitis
Medical imaging
mesenteric phlebosclerosis
Patient outcomes
phlebosclerotic colitis
Risk factors
Veins & arteries
title Phlebosclerotic colitis: A case report and review of the literature
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