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[结肠静脉炎。一例病例描述及文献综述]

[Enterocolic phlebitis. Description of a case and review of the literature].

作者信息

De Marco L, Cavazza A, Pastore L, Rossi G, Piana S, Putrino I, Gardini G

机构信息

Unità Operative di Anatomia Patologica, Ospedale Ramazzini di Carpi, Modena.

出版信息

Pathologica. 2003 Aug;95(4):203-8.

Abstract

OBJECTIVE

To report about a case of enterocolic phlebitis, a rare cause of ischemic intestinal necrosis.

RESULTS AND CONCLUSIONS

The patient, a 71 year-old male, presented with signs of acute abdomen. A right hemicolectomy was performed, which revealed a tubulovillous adenoma with high grade dysplasia located in the ascending colon, and a diffuse ischemic colitis. A localized lymphocytic and granulomatous phlebitis was present in the resected colon. The arteries were spared by the inflammatory process. The patient is alive and well 7 years after surgery. The literature concerning enterocolic phlebitis, a peculiar form of localized intestinal vasculitis, is briefly summarized.

摘要

目的

报告一例结肠小肠静脉炎,这是缺血性肠坏死的罕见病因。

结果与结论

该患者为一名71岁男性,表现出急腹症体征。实施了右半结肠切除术,术中发现升结肠有一个伴有高级别异型增生的管状绒毛状腺瘤以及弥漫性缺血性结肠炎。在切除的结肠中存在局限性淋巴细胞性和肉芽肿性静脉炎。炎症过程未累及动脉。患者术后7年健在。本文简要总结了关于结肠小肠静脉炎(一种特殊形式的局限性肠道血管炎)的文献。

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