Idiopathic phlebosclerotic colitis: a rare entity of chronic ischemic colitis

Title
Idiopathic phlebosclerotic colitis: a rare entity of chronic ischemic colitis
Author
최호순
Keywords
Ischemic colitis; Mesenteric veins; Sclerosis; Vascular calcification
Issue Date
2014-03
Publisher
대한소화기학회
Citation
대한소화기학회지(The Korean journal of gastroenterology), Vol.63 No.3 [2014], pp. 183-186(4쪽)
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.
URI
https://synapse.koreamed.org/search.php?where=aview&id=10.4166/kjg.2014.63.3.183&code=0028KJG&vmode=FULLhttp://hdl.handle.net/20.500.11754/50572
ISSN
1598-9992
DOI
10.4166/kjg.2014.63.3.183
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COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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