Year 2021 / Volume 113 / Number 3
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Phlebosclerotic colitis: an unusual cause of abdominal pain and hematochezia

218-219

DOI: 10.17235/reed.2020.7358/2020

Jing Chi, Yiding Ji, Zhenguo Qiao, Jiaping Qian,

Abstract
A 64-year-old male presented to our department with right low abdominal pain and intermittent bloody stool of a five-day duration. He had a long history of drinking alcohol. Both wall thickening of the ascending colon and transverse colon and a dense shadow of the vascular wall of the peripheral mesentery were detected by abdominal computed tomography (CT) scans. Abdominal angiography revealed stenosis of the mesenteric artery and multiple calcifications of distal vessels of the ascending colon and transverse colon. Colonoscopy showed multiple ulcers in the ascending colon and transverse colon where the bowel walls were edematous, along with focal hyperplasia. Pathological studies showed inflammatory hyperplasia in the colonic mucosal tissue and a diagnosis of phlebosclerotic colitis (PC) was made.
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References
1. Fang YL, Hsu HC, Chou YH, et al. Phlebosclerotic colitis: a case report and review of the literature. Exp Ther Med 2014; 7(3):583-586. DOI: 10.3892/etm.2014.1492
2. Hozumi H, Hokari R, Shimizu M, et al. Phlebosclerotic colitis that was difficult to distinguish from collagenous colitis. Dig Endosc 2014; 26(4):594-598. DOI: 10.1111/den.12151
3. Shibata H, Nishikawa J, Sakaida I. Dark purple-colored colon: sign of idiopathic mesenteric phlebosclerosis. Dig Endosc 2014; 26(4):604-605. DOI: 10.1111/den.12299
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Chi J, Ji Y, Qiao Z, Qian J. Phlebosclerotic colitis: an unusual cause of abdominal pain and hematochezia. 7358/2020


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Publication history

Received: 20/06/2020

Accepted: 13/07/2020

Online First: 25/11/2020

Published: 08/03/2021

Article revision time: 7 days

Article Online First time: 158 days

Article editing time: 261 days


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