Ischemic Intestinal Lesion Caused by Phlebosclelosis, Report of a Case

Yasuda, Aritoshi; Ishizuka, Daisuke; Hori, Takashiro; Katakami, Toshio; Kaneda, Shigeki; Shimizu, Shigetaka; Shimizu, Asako; Taguchi, Yumiko; Miyaoka, Masaaki; Saito, Toshihiko

doi:10.11641/pdensks.54.0_73

Cited by 3 publications

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“…In addition, reported treatments included anticoagulants and amino salicylic acid preparations. [ 21 , 22 ] Surgery had been suggested for patients with severe complications (perforation, intestinal obstruction, hemorrhage, etc. ), patients with more extensive venous calcifications, patients in whom the symptoms persisted or recurred after conservative treatment.…”

Section: Discussionmentioning

confidence: 99%

Phlebosclerotic colitis

Chen¹,

Zhu²,

Chen³

et al. 2018

Medicine

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The aim of the current study was to enhance the awareness of phlebosclerotic colitis (PC) through our clinical experience.A retrospective review of 25 patients who were diagnosed as PC in our 2 affiliated hospitals from January 2013 to October 2017 was conducted.The patients were found at a mean age of 63.5 years, range 47 to 87years. The majority of patients were male (23 cases). Only 4 patients (16%, 4/25) had the history about long-term use of Chinese herbs and medical liquor. The most common symptoms were abdominal pain (40%) and intestinal obstruction (16%), followed by diarrhea (12%), and gastrointestinal bleeding (12%), etc. Three cases (12%) had no symptoms. The varying degrees of calcifications along the colon and mesenteric venous were found in all of their computed tomography (CT) images. The lesions mainly located in transverse and ascending colon (60%, 15/25). The terminal ileum, the whole colon and rectum involvement were also been found. Fourteen patients had the examination of colonoscopy which all presented characteristic dark purple-colored endoscopic findings. Conservative treatment with close follow-up was preferred in our group. Three cases had the surgery of colectomy due to the repeatedly intestinal obstruction, perforation.The PC was a very rare but characteristic entity with unclear etiopathogenesis. Examination of abdomen CT and colonoscopy could help you to make clinical diagnosis.

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Section: Discussionmentioning

confidence: 99%

Phlebosclerotic colitis

Chen¹,

Zhu²,

Chen³

et al. 2018

Medicine

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Phlebosclerotic colitis that was difficult to distinguish from collagenous colitis

Hozumi

Hokari

Shimizu

et al. 2013

Digestive Endoscopy

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Phlebosclerotic colitis is a rare and recently known disease entity and its etiology is still to be elucidated. Some phlebosclerotic colitis cases are difficult to distinguish from collagenous colitis because of the similarity of pathological findings. In all Japanese case reports of phlebosclerotic colitis in which an association with the use of Chinese herbal medicine is suspected, sansisi (gardenia fruit) was included, suggesting pathogenesis of this disease. We report a case of phlebosclerotic colitis that wasdifficult to be distinguished from collagenous colitis, and an association with the use of Chinese herbal medicine was suspected as the cause of the disease.

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Systematic Analysis for Factors Associated with Symptomatic Mesenteric Phlebosclerosis in Japanese

MANTANI,

OKA

2021

Nihon Toyo igaku zasshi

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Ischemic Intestinal Lesion Caused by Phlebosclelosis, Report of a Case

Cited by 3 publications

References 0 publications

Phlebosclerotic colitis

Phlebosclerotic colitis

Phlebosclerotic colitis that was difficult to distinguish from collagenous colitis

Systematic Analysis for Factors Associated with Symptomatic Mesenteric Phlebosclerosis in Japanese

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