Department of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.
Korean J Gastroenterol. 2023 Jul 25;82(1):30-34. doi: 10.4166/kjg.2023.058.
Phlebosclerotic colitis is a rare form of intestinal ischemia. It is caused by calcified peripheral mesenteric veins and a thickened colonic wall. These characteristic findings can be identified on CT and colonoscopy. A 37-year-old female with a history of long-term herbal medicine use presented with acute lower abdominal pain and vomiting of sudden onset. Colonoscopic findings showed dark-blue discolored edematous mucosa and multiple ulcers from the ascending colon to the sigmoid colon. Abdominal CT findings showed diffuse thickening of the colonic wall and calcifications of the peripheral mesenteric veins from the ascending colon to the sigmoid colon. Based on these findings, the patient was diagnosed with phlebosclerotic colitis. We report this rare case of phlebosclerotic colitis in a healthy young female patient with a history of long-term herbal medicine use and include a review of the relevant literature.
静脉石性结肠炎是一种罕见的肠道缺血形式。它是由钙化的外周肠系膜静脉和增厚的结肠壁引起的。这些特征性的发现可以在 CT 和结肠镜检查中识别。一位 37 岁的女性，长期服用草药，突发急性下腹疼痛和呕吐。结肠镜检查结果显示，从升结肠到乙状结肠的蓝色变色水肿黏膜和多个溃疡。腹部 CT 结果显示，从升结肠到乙状结肠的结肠壁弥漫性增厚和外周肠系膜静脉钙化。根据这些发现，该患者被诊断为静脉石性结肠炎。我们报告了一例罕见的静脉石性结肠炎病例，患者为健康年轻女性，长期服用草药，我们对相关文献进行了回顾。
