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 |
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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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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.</description><identifier>ISSN: 1792-0981</identifier><identifier>EISSN: 1792-1015</identifier><identifier>DOI: 10.3892/etm.2014.1492</identifier><identifier>PMID: 24520249</identifier><language>eng</language><publisher>Greece: D.A. Spandidos</publisher><subject>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</subject><ispartof>Experimental and therapeutic medicine, 2014-03, Vol.7 (3), p.583-586</ispartof><rights>Copyright © 2014, Spandidos Publications</rights><rights>COPYRIGHT 2014 Spandidos Publications</rights><rights>Copyright Spandidos Publications UK Ltd. 2014</rights><rights>Copyright © 2014, Spandidos Publications 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c514t-a3d485dd0c3f6f49c587fd55da15255d9f4d50d70d0d5858959bae29d45c37883</citedby><cites>FETCH-LOGICAL-c514t-a3d485dd0c3f6f49c587fd55da15255d9f4d50d70d0d5858959bae29d45c37883</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3919902/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3919902/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24520249$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>FANG, YUE-LIN</creatorcontrib><creatorcontrib>HSU, HO-CHI</creatorcontrib><creatorcontrib>CHOU, YENN-HWEI</creatorcontrib><creatorcontrib>WU, CHIN-CHU</creatorcontrib><creatorcontrib>CHOU, YUH-YU</creatorcontrib><title>Phlebosclerotic colitis: A case report and review of the literature</title><title>Experimental and therapeutic medicine</title><addtitle>Exp Ther Med</addtitle><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.</description><subject>Abdomen</subject><subject>calcifications</subject><subject>Care and treatment</subject><subject>Case reports</subject><subject>Case studies</subject><subject>Colitis</subject><subject>Colon</subject><subject>Diagnosis</subject><subject>ischemic colitis</subject><subject>Medical imaging</subject><subject>mesenteric phlebosclerosis</subject><subject>Patient outcomes</subject><subject>phlebosclerotic colitis</subject><subject>Risk factors</subject><subject>Veins & arteries</subject><issn>1792-0981</issn><issn>1792-1015</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNptkU1vEzEQhi0EolXpkStaiQNcNvgza3NAiiJakCrBAc6WY48bV7vrYO-24t8zUUKgCPswI_uZdzTzEvKS0YXQhr-DaVhwyuSCScOfkHPWGd4yytTTY06NZmfkstY7ikctmdbqOTnjUnHKpTkn66_bHja5-h5KnpJvfO7TlOr7ZtV4V6EpsMtlatwYML1P8NDk2ExbaBCD4qa5wAvyLLq-wuUxXpDvVx-_rT-1N1-uP69XN61XTE6tE0FqFQL1Ii6jNF7pLgalgmOKYzBRBkVDRwMNSittlNk44CZI5UWntbggHw66u3kzQPAwTsX1dlfS4MpPm12yj3_GtLW3-d4Kw4yhHAXeHgVK_jFDneyQqoe-dyPkuVqm-VIZJilD9PU_6F2ey4jjWWYErrjT3Pyhbl0PNo0xY1-_F7UryehSIiOQWvyHwhtgSD6PEBO-PypoDwW-5FoLxNOMjNq98RaNt3vj7d545F_9vZgT_dtmBN4cgLpDI1PI9cSgUku7loqWKi3EL4Tas_M</recordid><startdate>20140301</startdate><enddate>20140301</enddate><creator>FANG, YUE-LIN</creator><creator>HSU, HO-CHI</creator><creator>CHOU, YENN-HWEI</creator><creator>WU, CHIN-CHU</creator><creator>CHOU, YUH-YU</creator><general>D.A. Spandidos</general><general>Spandidos Publications</general><general>Spandidos Publications UK Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20140301</creationdate><title>Phlebosclerotic colitis: A case report and review of the literature</title><author>FANG, YUE-LIN ; HSU, HO-CHI ; CHOU, YENN-HWEI ; WU, CHIN-CHU ; CHOU, YUH-YU</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c514t-a3d485dd0c3f6f49c587fd55da15255d9f4d50d70d0d5858959bae29d45c37883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Abdomen</topic><topic>calcifications</topic><topic>Care and treatment</topic><topic>Case reports</topic><topic>Case studies</topic><topic>Colitis</topic><topic>Colon</topic><topic>Diagnosis</topic><topic>ischemic colitis</topic><topic>Medical imaging</topic><topic>mesenteric phlebosclerosis</topic><topic>Patient outcomes</topic><topic>phlebosclerotic colitis</topic><topic>Risk factors</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>FANG, YUE-LIN</creatorcontrib><creatorcontrib>HSU, HO-CHI</creatorcontrib><creatorcontrib>CHOU, YENN-HWEI</creatorcontrib><creatorcontrib>WU, CHIN-CHU</creatorcontrib><creatorcontrib>CHOU, YUH-YU</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Experimental and therapeutic medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>FANG, YUE-LIN</au><au>HSU, HO-CHI</au><au>CHOU, YENN-HWEI</au><au>WU, CHIN-CHU</au><au>CHOU, YUH-YU</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Phlebosclerotic colitis: A case report and review of the literature</atitle><jtitle>Experimental and therapeutic medicine</jtitle><addtitle>Exp Ther Med</addtitle><date>2014-03-01</date><risdate>2014</risdate><volume>7</volume><issue>3</issue><spage>583</spage><epage>586</epage><pages>583-586</pages><issn>1792-0981</issn><eissn>1792-1015</eissn><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. 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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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