Enterocolic Lymphocytic Phlebitis With Lymphocytic Colitis, Lymphocytic Appendicitis, and Lymphocytic Enteritis

Wright, Cheryl L.; Cacala, Shas

doi:10.1097/00000478-200404000-00015

Cited by 36 publications

(44 citation statements)

References 29 publications

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“…The involved vessels are found in the bowel wall and mesentery. 65 Symptoms generally resolve with supportive care; surgery is reserved for rare cases in which gangrene develops or a postischemic stricture causes intestinal obstruction.…”

Section: Phlebosclerotic Colitis and Lymphocytic Colitismentioning

confidence: 99%

Management of Ischemic Colitis

Washington

Carmichael

2012

Clinics in Colon and Rectal Surgery

111

129

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Ischemic colitis is a commonly misunderstood clinical condition. Although the colon is the most common region of ischemia in the gastrointestinal tract, many surgeons have difficulty with diagnosis and treatment of ischemic colitis. The process can occur from either occlusive vascular disease or nonocclusive disease, and can be gangrenous or nongangrenous. Differentiating gangrenous from nongangrenous disease can be a difficult clinical challenge as both sets of patients generally present with abdominal pain and bloody diarrhea. Although the majority of patients have transient ischemia with nongangrenous colitis that can be successfully managed nonoperatively, prompt recognition and surgical intervention is critical in patients with gangrenous colitis. In this article, the diagnosis and treatment of ischemic colitis is reviewed with emphasis on a systematic, evidence-based approach to management.

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Section: Phlebosclerotic Colitis and Lymphocytic Colitismentioning

confidence: 99%

Management of Ischemic Colitis

Washington

Carmichael

2012

Clinics in Colon and Rectal Surgery

111

129

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“…ELP has a wide range of clinical and histological presentation [6, 8, 9]. Clinical presentation can range from long-standing abdominal complaints with a sudden (sub)acute worsening of complaints [3] to presentation with an acute abdomen [4].…”

Section: Discussionmentioning

confidence: 99%

Enterocolic lymphocytic phlebitis: an oncologic surgical resection without a preoperative pathologic diagnosis

Huiberts

Donkervoort

Blok

et al. 2014

Journal of Surgical Case Reports

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A patient with complaints of an abdominal (mesenteric) mass is presented. Differential diagnosis included neoplastic processes, such as malignant lymphoma, desmoid tumour, a carcinoid or a gastro-intestinal stromal cell tumour. An oncological resection was performed. Despite the malignant appearance of the tumour no malignancy was found with histopathological examination. Vasculitic lesions were seen in venous structures, resembling veno-occlusive disease with signs of recanalization and with the presence of inflammatory cells, mainly lymphocytes. A diagnosis of enterocolic lymphocytic phlebitis was made. This benign condition can mimic malignancy, necessitating a wide excision, also because obtaining a pre-operative histopathological diagnosis is hardly possible.

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“…(8). No existen diferencias en cuanto a la frecuencia de presentación de la enfermedad entre hombres y mujeres, además, la edad de presentación en el 80% de los casos es superior a 50 años, lo que contrasta con la joven edad de nuestro paciente (35 años), aunque el caso más precoz comunicado es el de un paciente de 25 años (2,9).…”

Section: Discussionunclassified