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KMID : 0388220140210020101
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Journal of the Korean Rheumatism Association
2014 Volume.21 No. 2 p.101 ~ p.105
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A Case of Enterocolic Lymphocytic Phlebitis Mimicking Surgical Abdomen
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Seo Mi-Ryoung
Kim Tae-Eun
Ryu Hee-Jung
Baek Han-Joo
Choi Hyo-Jin
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Abstract
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Vasculitis that involves the gastrointestinal (GI) tract often occurs as part of a systemic inflammatory process. It is a well-recognized manifestation of the small and medium sized vessel vasculitides. Vasculitis of the GI tract may oc-cur in isolation; although it can progress to a systemic illness. It usually involves the arterioles, venules, and capil-laries; however, it is very rare for only the venules to be affected. Enterocolic lymphocytic phlebitis is a localized vasculitis, typically affecting the small and medium-sized intramural and mesenteric veins of the intestines. We re-port a case of enterocolic lymphocytic phlebitis of the colon. A 38-year-old woman was presented with hema-tochezia and severe abdominal pain on the day of admission. She had no history of intestinal disease or sys-temic disease. Computed tomography showed an extremely thickened wall of the colon, along with several air bubbles in the colon with diffuse subcutaneous emphysema in the abdominal wall. An emergency exploration laparotomy and extended right hemicolectomy was performed. The pa-tient recovered completely after surgery and remains well without further therapy.
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KEYWORD
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Enterocolic lymphocytic phlebitis, Localized gastrointestinal vasculitis, Single-organ vasculitis
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