Pathology Unit, Hospital Universitario Virgen del Rocío, Seville, Spain.
Radiology Unit, Hospital Universitario Virgen del Rocío, Seville, Spain.
J Med Case Rep. 2021 Jul 18;15(1):349. doi: 10.1186/s13256-021-02930-2.
Phlebosclerotic colitis is a rare condition with a high mortality. It has been seen almost exclusively in Asian patients who are ≥ 60 years old, with a slight male predominance. Although it predominantly affects the right colon and seems to be related in some cases to using natural herbal medicines, neither its etiology nor its pathogenesis are known.
We present an extremely rare case of a 62-year-old Spanish white man patient of non-Asian ethnicity with no history of using natural medications, who was diagnosed with phlebosclerotic colitis of submucosal veins.
To date, this is the only case reported in Spain, and only the second reported for Europe, in the literature. Due to the nonspecific symptoms and insidious radiological findings of this disease (both in early and mild stages) as well as exclusive submucosal involvement presented here, it is necessary that the treating physician has a high level of suspicion for its diagnosis.
静脉石性结肠炎是一种罕见的疾病，死亡率很高。它几乎只发生在≥60 岁的亚洲患者中，男性略占优势。虽然它主要影响右结肠，在某些情况下似乎与使用天然草药有关，但它的病因和发病机制尚不清楚。
我们报告了一个极其罕见的病例，一名 62 岁的西班牙白人男性，无使用天然药物的病史，被诊断为黏膜下静脉静脉石性结肠炎。
迄今为止，这是在西班牙报告的首例病例，也是文献中报告的欧洲第二例病例。由于该病（无论是在早期还是轻度阶段）的非特异性症状和隐匿性放射学表现，以及这里呈现的黏膜下受累的独特性，因此有必要让治疗医生对其诊断保持高度怀疑。
