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长期使用草药导致的静脉硬化性结肠炎。

Phlebosclerotic colitis with long-term herbal medicine use.

作者信息

Minh Nguyen Dinh, Hung Nguyen Duy, Huyen Pham Thu, Van Anh Nguyen Thanh, Lanh Nguyen Sy, Anh Pham Quynh, Duc Nguyen Minh

机构信息

Department of Radiology, Viet Duc Hospital, Hanoi, Vietnam.

Department of Radiology, Hanoi Medical University, Hanoi, Vietnam.

出版信息

Radiol Case Rep. 2022 Mar 22;17(5):1696-1701. doi: 10.1016/j.radcr.2022.02.069. eCollection 2022 May.

DOI:10.1016/j.radcr.2022.02.069
PMID:35342497
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8942791/
Abstract

Phlebosclerotic colitis (PC), also known as idiopathic mesenteric phlebosclerosis, is a rare disease resulting in ischemic colon due to venous sclerosis and calcifications that can be identified by characteristic imaging features on computed tomography and colonoscopy. Clinical examination reveals nonspecific symptoms with slow progression in the majority of cases. Patients with PC often require late-stage hospitalization and colectomy. We report a 79-year-old man with long-term clinical symptoms who used herbal medicines. Computed tomography and colonoscopy studies revealed several classical PC characteristics, and the patient subsequently underwent emergency total colectomy.

摘要

静脉硬化性结肠炎(PC),也称为特发性肠系膜静脉硬化,是一种罕见疾病,由于静脉硬化和钙化导致结肠缺血,可通过计算机断层扫描和结肠镜检查的特征性影像学表现来识别。临床检查显示,大多数病例症状不具特异性且进展缓慢。PC患者常需晚期住院治疗并接受结肠切除术。我们报告一名有长期临床症状且使用草药的79岁男性。计算机断层扫描和结肠镜检查显示出一些典型的PC特征,该患者随后接受了急诊全结肠切除术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e5a/8942791/2d835776e1cf/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e5a/8942791/f0bab2be7327/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e5a/8942791/c0196e85fc07/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e5a/8942791/8453a7a00d39/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e5a/8942791/2d835776e1cf/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e5a/8942791/f0bab2be7327/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e5a/8942791/c0196e85fc07/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e5a/8942791/8453a7a00d39/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e5a/8942791/2d835776e1cf/gr4.jpg

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本文引用的文献

1
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.
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Idiopathic mesenteric phlebosclerosis: clinical and CT imaging characteristics.特发性肠系膜静脉硬化:临床及CT影像特征
Quant Imaging Med Surg. 2021 Feb;11(2):763-771. doi: 10.21037/qims-20-301.
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Idiopathic mesenteric phlebosclerosis associated with use of Chinese herbal medicine: Two case reports.与使用中药相关的特发性肠系膜静脉硬化:两例病例报告。
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。
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Phlebosclerotic colitis: Our clinical experience of 25 patients in China.静脉硬化性结肠炎:我们在中国25例患者的临床经验。
Medicine (Baltimore). 2018 Oct;97(43):e12824. doi: 10.1097/MD.0000000000012824.
5
Obstructive ileus caused by phlebosclerotic colitis.静脉硬化性结肠炎所致的肠梗阻
Intest Res. 2016 Oct;14(4):369-374. doi: 10.5217/ir.2016.14.4.369. Epub 2016 Oct 17.
6
The role of CT in predicting the need for surgery in patients diagnosed with mesenteric phlebosclerosis.CT在预测诊断为肠系膜静脉硬化的患者手术需求中的作用。
Medicine (Baltimore). 2016 Oct;95(41):e5139. doi: 10.1097/MD.0000000000005139.
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A Case of Idiopathic Mesenteric Phlebosclerosis with Progressive Intestinal Necrosis.一例特发性肠系膜静脉硬化伴进行性肠坏死
Tokai J Exp Clin Med. 2016 Jun 20;41(2):70-5.
8
Phlebosclerotic colitis: case report and literature review focused on the radiologic findings in relation to the intake period of toxic material.静脉硬化性结肠炎:病例报告及文献综述,重点关注与有毒物质摄入期相关的放射学表现。
Jpn J Radiol. 2015 Oct;33(10):663-7. doi: 10.1007/s11604-015-0467-5. Epub 2015 Aug 5.
9
Relationship between severity of venous calcifications and symptoms of phlebosclerotic colitis.静脉钙化严重程度与静脉硬化性结肠炎症状之间的关系。
World J Gastroenterol. 2015 Jul 14;21(26):8148-55. doi: 10.3748/wjg.v21.i26.8148.
10
Idiopathic mesenteric phlebosclerosis associated with long-term use of medical liquor: two case reports and literature review.与长期饮用药酒相关的特发性肠系膜静脉硬化:两例报告及文献复习
World J Gastroenterol. 2014 May 14;20(18):5561-6. doi: 10.3748/wjg.v20.i18.5561.