Fang Yue-Lin, Hsu Ho-Chi, Chou Yenn-Hwei, Wu Chin-Chu, Chou Yuh-Yu
Division of General Surgery, Department of Surgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei 111, Taiwan, R.O.C.
Department of Radiology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei 111, Taiwan, R.O.C.
Exp Ther Med. 2014 Mar;7(3):583-586. doi: 10.3892/etm.2014.1492. Epub 2014 Jan 20.
Phlebosclerotic colitis (PC) is a rare but potentially life-threatening disease. The initial presentation may include non-specific symptoms, such as vomiting, constipation and abdominal pain; however, intestinal stenosis, gangrene and perforation may occur without appropriate management. The present report describes the case of a 56-year-old male with abdominal pain and constipation. Imaging studies revealed thread-like calcifications involving almost the entire colon, which had markedly progressed over a three-year period, and changes consistent with colonic ischemia. Angiography revealed decreased blood flow in the mesenteric veins. The patient underwent emergent subtotal colectomy, and pathological examination revealed gangrene of the colon and calcifications of the mesenteric veins. The patient's postoperative course was uneventful. In conclusion, PC is a potentially life-threatening condition that may be diagnosed by the presence of serpentine calcifications on imaging studies. Management depends on the severity of the disease, ranging from close follow-up to prompt surgical intervention.
静脉硬化性结肠炎（PC）是一种罕见但可能危及生命的疾病。最初的表现可能包括非特异性症状，如呕吐、便秘和腹痛；然而，如果没有适当的治疗，可能会发生肠道狭窄、坏疽和穿孔。本报告描述了一名56岁男性腹痛和便秘的病例。影像学检查显示几乎整个结肠出现线状钙化，在三年时间里明显进展，以及与结肠缺血一致的变化。血管造影显示肠系膜静脉血流减少。患者接受了急诊次全结肠切除术，病理检查显示结肠坏疽和肠系膜静脉钙化。患者术后恢复顺利。总之，PC是一种可能危及生命的疾病，可通过影像学检查发现蛇形钙化来诊断。治疗取决于疾病的严重程度，从密切随访到及时手术干预不等。
