Phlebosclerotic Colitis: Value of Radiography in Diagnosis—Report of Three Cases

Yao, Tsuneyoshi; Iwashita, Akinori; Hoashi, Toshio; Matsui, Toshiyuki; Sakurai, ﻿Toshihiro; Arima, Sumitaka; Ono, Hiroyuki; Schlemper, Ronald J.

doi:10.1148/radiology.214.1.r00ja01188

Cited by 88 publications

(97 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Barium enema should be avoided in cases where there is a suspicion of gangrene or perforation. Barium enema, also, makes the later use of angiography or endoscopy more difficult because of residual contrast agent (Iida et al 1986;Yao et al 2000). CT is the single best diagnostic modality after the plain radiography, because it can exclude many other causes of abdominal pain and can also establish the diagnosis of intestinal ischemia.…”

Section: Diagnosismentioning

confidence: 99%

“…Damage from hypoperfusion is often at the arteriolar level, whereas mesenteric vessels and arcades are patent. There are two exceptions where angiography may have some utility: when acute mesenteric ischemia is considered and cannot be clearly distinguished from ischemic colitis by clinical presentation, or when there is isolated involvement of the right side of the colon, suggesting superior mesenteric artery occlusion (Kaufman et al 1977;Clark and Gallant 1984;Boos 1992;Cikrit et al 1996;Yao et al 2000;Kirkpatrick et al 2003).…”

Section: Diagnosismentioning

confidence: 99%

See 1 more Smart Citation

Ischemic Colitis: Surging Waves of Update

Stamatakos

Douzinas

Stefanaki

et al. 2009

Tohoku J. Exp. Med.

View full text Add to dashboard Cite

Section: Diagnosismentioning

confidence: 99%

Section: Diagnosismentioning

confidence: 99%

Ischemic Colitis: Surging Waves of Update

Stamatakos

Douzinas

Stefanaki

et al. 2009

Tohoku J. Exp. Med.

View full text Add to dashboard Cite

“…[B] Thickening of the affected colonic wall with calcification and associated calcification of the mesenteric vein and its tributaries on CT scans (9,12).…”

Section: Methodsmentioning

confidence: 99%

“…Diagnosing advanced cases of MP is relatively easy (1,9). Calcification of the right hemicolon and the circumferential tissue characterize MP in its advanced stages.…”

Section: Bosclerosis)mentioning

confidence: 99%

See 1 more Smart Citation

Clinical Search for Undiagnosed Mesenteric Phlebosclerosis at Outpatient Departments Specializing in Herbal (Kampo) Medicine

et al. 2016

View full text Add to dashboard Cite

Objective Mesenteric phlebosclerosis (MP) is a disease characterized by calcification of the mesenteric vein, which causes chronic mesenteric ischemia. Recently, the long-term intake of gardenia fruit ('Sanshishi' in Japanese) has been attracting attention as a possible cause. Usually, only advanced, severe MP cases get reported. However, we suspected that some latent cases of this disease may exist.We performed this study in order to determine the prediagnostic cases at our outpatient departments of herbal (Kampo) medicine, with particular attention paid to the initial changes, such as any slight color change of the colon, as shown in colonoscopy. Methods We recommend colonoscopy and computed tomography (CT) scans for patients with a long-term history of taking herbal medicines containing gardenia fruit. Clinical examinations were performed upon receiving patients' consent from December 2013 to November 2014. Results Of the 103 patients who took gardenia fruit long-term, 29 agreed to be checked for MP. 14 patients underwent colonoscopy. Four patients were confirmed to have MP due to the presence of fibrotic deposition of the colonic membrane on histological inspection. Twenty-one patients underwent abdominal CT screening. Characteristic calcification of the mesenteric vein was observed on CT scans in 2 patients. All 4 MP patients took Kampo formulas containing gardenia fruit for more than 6.8 years. The other patients did not develop MP, despite long-term gardenia fruit intake. Conclusion We detected the latent and undiagnosed MP cases. All diagnoses were made while paying careful attention to any slight changes in colonoscopy and CT scans.

show abstract

A rare cause of ischemic colitis: A case series of idiopathic mesenteric phlebosclerotic colitis from two medical centers in Taiwan

Kao

Lin

Chang

et al. 2020

Adv in Digestive Medicine

View full text Add to dashboard Cite

Idiopathic mesenteric phlebosclerotic colitis (IMP) is a rare disease entity of intestinal ischemia that is predominant in Asian populations. We present the clinical features, diagnosis, treatment, and outcome of this disease via a case series. We collected data from medical records in two medical centers in Taiwan. From 2008 to 2017, 11 cases were diagnosed with IMP, and their clinical features were analyzed. Eleven cases were included in our case series. The average age of the patients was 59 (±6.77) years old, and there was a predominance of women. More than half of our patients had a history of herb consumption. Their symptoms varied from asymptomatic to lethal, such as mechanical ileus. The most common colonoscopic finding was the dark purple discoloration and decreased vascularity over the edematous mucosa. In our case series, nine patients showed no disease progression after conservative treatment alone. In contrast, two cases required surgical intervention due to mechanical ileus. The symptoms of IMP may vary extremely, and it may present as asymptomatic or lethal. The etiology of this rare disease remained unknown, and some offending materials such as herb were considered responsible for its genesis. Both the specific radiological and colonoscopic characteristics helped to confirm its diagnosis. IMP should be always considered for ischemic colitis in long-term herb users.

show abstract

Phlebosclerotic Colitis: Value of Radiography in Diagnosis—Report of Three Cases

Cited by 88 publications

References 6 publications

Ischemic Colitis: Surging Waves of Update

Ischemic Colitis: Surging Waves of Update

Clinical Search for Undiagnosed Mesenteric Phlebosclerosis at Outpatient Departments Specializing in Herbal (Kampo) Medicine

A rare cause of ischemic colitis: A case series of idiopathic mesenteric phlebosclerotic colitis from two medical centers in Taiwan

Contact Info

Product

Resources

About