Agrawal Dakshita, Agrawal Rakshita, Narayanasamy Sangara, Ramasamy Sadhasivam, Mohamedahmed Ali Yasen, Thomas Pradeep, Husain Najam
General Surgery, Queen's Hospital Burton, University Hospitals of Derby and Burton NHS Foundation Trust, Burton-on-Trent, GBR.
Cureus. 2024 Oct 30;16(10):e72699. doi: 10.7759/cureus.72699. eCollection 2024 Oct.
Enterocolic lymphocytic phlebitis (ELP) is an idiopathic form of venous inflammation that is limited to the gastrointestinal tract. It is characterised by inflammation of the veins with no involvement of the arteries. Usually, it presents with gastrointestinal symptoms such as abdominal pain, and imaging may suggest malignancy. The reported case is a 56-year-old female presented with rectal bleeding, abdominal pain and diarrhoea. All blood test results were normal; however, she had an elevated C-reactive protein (CRP) level. Computed tomography colonography showed caecal wall thickening, suggesting caecal malignancy. Following a multidisciplinary discussion, the patient had a right hemicolectomy, and the histology showed no malignancy and typical features of ELP. This is a rare idiopathic form of venous inflammation localised to the gastrointestinal tract, which can occasionally present similarly to bowel malignancy. ELP most commonly presents with abdominal pain, followed by hematochezia and diarrhaea. The duration of symptoms varies widely, from hours to a year. Diagnosis is usually confirmed by histopathological assessment. We present this case and literature review considering its rarity, which adds to the literature on this condition.
小肠结肠淋巴细胞性静脉炎（ELP）是一种局限于胃肠道的特发性静脉炎症形式。其特征是静脉炎症，不累及动脉。通常，它表现为腹痛等胃肠道症状，影像学检查可能提示恶性肿瘤。报告的病例是一名56岁女性，表现为直肠出血、腹痛和腹泻。所有血液检查结果均正常；然而，她的C反应蛋白（CRP）水平升高。计算机断层结肠成像显示盲肠壁增厚，提示盲肠恶性肿瘤。经过多学科讨论，患者接受了右半结肠切除术，组织学检查显示无恶性肿瘤，且具有ELP的典型特征。这是一种罕见的局限于胃肠道的特发性静脉炎症形式，偶尔可能表现得与肠道恶性肿瘤相似。ELP最常见的表现是腹痛，其次是便血和腹泻。症状持续时间差异很大，从数小时到一年不等。诊断通常通过组织病理学评估来确认。鉴于其罕见性，我们呈现此病例并进行文献综述，这为关于这种疾病的文献增添了内容。
