Song Jun Ho, Kim Jin Il, Jung Jin Hwan, Kim Jeong Ho, Lee Sang Hun, Cheung Dae Young, Park Soo Heon, Kim Jae Kwang
Department of Internal Medicine, The Catholic University of Korea, College of Medicine, Seoul, Korea.
Korean J Gastroenterol. 2012 Jan;59(1):40-3. doi: 10.4166/kjg.2012.59.1.40.
Phlebosclerotic colitis is a rare disease of intestinal ischemia caused by calcified peripheral mesenteric veins and a thickened colonic wall, differentiating it from the typical ischemic colitis. A 68-year-old man who was undergoing hemodialysis presented with hematochezia and abdominal pain. Colonoscopic findings showed typical dark purple-colored edematous mucosa. Linear calcifications in the colon were noted on both a plain abdominal radiolography and abdominal computer tomography. These findings suggested that the patient suffered from phlebosclerotic colitis. Following bowel rest and fluid therapy, there was full recovery. We herein report a rare case of phlebosclerotic colitis in a hemodialysis patient and include a review of the relevant literature.
静脉硬化性结肠炎是一种由外周肠系膜静脉钙化和结肠壁增厚引起的罕见肠缺血性疾病，与典型的缺血性结肠炎不同。一名68岁正在接受血液透析的男性出现便血和腹痛。结肠镜检查结果显示典型的暗紫色水肿黏膜。腹部平片和腹部计算机断层扫描均显示结肠有线性钙化。这些发现提示该患者患有静脉硬化性结肠炎。经过肠道休息和液体治疗后，患者完全康复。我们在此报告一例血液透析患者的罕见静脉硬化性结肠炎病例，并对相关文献进行综述。
