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病例 296:静脉性硬化性结肠炎。

Case 296: Phlebosclerotic Colitis.

机构信息

From the Division of Gastroenterology and Hepatology, Department of Internal Medicine (C.Y.L., P.C.T., K.C.C., T.H.L., C.K.L., C.S.C.), and Department of Radiology (C.C.H., Y.M.T.), Far Eastern Memorial Hospital, 21 Nan-Ya South Rd, Section 2, Banciao District, New Taipei City, Taiwan 22060; and College of Medicine, Fu Jen Catholic University, New Taipei City, Taiwan (C.S.C.).

出版信息

Radiology. 2021 Dec;301(3):735-740. doi: 10.1148/radiol.2021201802.

DOI:10.1148/radiol.2021201802
PMID:34807772
Abstract

History A 55-year-old woman without systemic underlying disease, such as diabetes mellitus, inflammatory bowel disease, autoimmune disease, or chronic kidney disease, presented with generalized dull abdominal pain of 1-week duration. She had ingested herbal medicine for physical conditioning for several years. Laboratory findings, including biochemistry, electrolyte levels, and complete blood count, were all within normal limits, except for elevated serum C-reactive protein level (7.719 mg/dL; normal range, <1 mg/dL). The patient underwent initial evaluation with conventional abdominal radiography. She underwent subsequent evaluation with noncontrast CT of the abdomen and colonoscopy.

摘要

病史 一位 55 岁的女性,无系统性基础疾病,如糖尿病、炎症性肠病、自身免疫性疾病或慢性肾脏病,出现为期 1 周的全身性隐痛。她因身体调理而长期服用草药。实验室检查结果,包括生化、电解质水平和全血细胞计数,均在正常范围内,只有血清 C 反应蛋白水平升高(7.719mg/dL;正常值<1mg/dL)。患者最初接受常规腹部 X 线检查,随后接受腹部和结肠非增强 CT 检查以及结肠镜检查。

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Case 296: Phlebosclerotic Colitis.病例 296:静脉性硬化性结肠炎。
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A case of lanthanum carbonate ingestion thought to be phlebosclerotic colitis on CT imaging and abdominal radiograph.一例因服用碳酸镧在CT成像和腹部X光片上被误诊为静脉硬化性结肠炎的病例。
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引用本文的文献

1
Idiopathic mesenteric phlebosclerosis: a rare but important disease in Asian populations.特发性肠系膜静脉硬化:亚洲人群中一种罕见但重要的疾病。
Eur J Med Res. 2025 Apr 1;30(1):219. doi: 10.1186/s40001-025-02505-7.
2
Clinical significance of abdominal computed tomography and colonoscopy in the evaluation of phlebosclerotic colitis.腹部 CT 与结肠镜检查对静脉性硬化性结肠炎评估的临床意义。
Kaohsiung J Med Sci. 2024 Mar;40(3):296-303. doi: 10.1002/kjm2.12761. Epub 2023 Sep 21.