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静脉石性结肠炎:腹痛和血便的一个不常见病因。

Phlebosclerotic colitis: an unusual cause of abdominal pain and hematochezia.

机构信息

Radiology, Suzhou Ninth People's Hospital. Affiliated Wujiang Hospital of Nantong University..

Radiology, Suzhou Ninth People's Hospital. Affiliated Wujiang Hospital of Nantong University.

出版信息

Rev Esp Enferm Dig. 2021 Mar;113(3):218-219. doi: 10.17235/reed.2020.7358/2020.

DOI:10.17235/reed.2020.7358/2020
PMID:33233907
Abstract

A 64-year-old male presented to our department with right low abdominal pain and intermittent bloody stool of a five-day duration. He had a long history of drinking alcohol. Both wall thickening of the ascending colon and transverse colon and a dense shadow of the vascular wall of the peripheral mesentery were detected by abdominal computed tomography (CT) scans. Abdominal angiography revealed stenosis of the mesenteric artery and multiple calcifications of distal vessels of the ascending colon and transverse colon. Colonoscopy showed multiple ulcers in the ascending colon and transverse colon where the bowel walls were edematous, along with focal hyperplasia. Pathological studies showed inflammatory hyperplasia in the colonic mucosal tissue and a diagnosis of phlebosclerotic colitis (PC) was made.

摘要

一位 64 岁男性因右下腹疼痛和间歇性血性腹泻五天到我院就诊。他有长期饮酒史。腹部 CT 扫描发现升结肠和横结肠壁增厚,以及外周肠系膜血管壁的致密阴影。腹部血管造影显示肠系膜动脉狭窄和升结肠及横结肠远端血管多处钙化。结肠镜检查显示升结肠和横结肠多处溃疡,肠壁水肿,伴有局灶性增生。病理研究显示结肠黏膜组织炎症性增生,诊断为静脉硬化性结肠炎(PC)。

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Phlebosclerotic colitis: an unusual cause of abdominal pain and hematochezia.静脉石性结肠炎:腹痛和血便的一个不常见病因。
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Front Med (Lausanne). 2025 Jul 9;12:1583341. doi: 10.3389/fmed.2025.1583341. eCollection 2025.
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Idiopathic mesenteric phlebosclerosis: one case report and systematic literature review of 240 cases.特发性肠系膜静脉硬化:一例报告及240例病例的系统文献综述
Am J Transl Res. 2021 Nov 15;13(11):13156-13166. eCollection 2021.