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KMID : 0614620140630030183
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Korean Journal of Gastroenterology
2014 Volume.63 No. 3 p.183 ~ p.186
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Idiopathic Phlebosclerotic Colitis: A Rare Entity of Chronic Ischemic Colitis
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Choi Jong-Min
Lee Kang-Nyeong
Kim Hae-Su
Lee Sang-Ki
Lee Jung-Kyu
Lee Sung-Won
Lee Oh-Young
Choi Ho-Soon
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Abstract
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Colonic wall thickening is frequently encountered in various conditions, from acute or chronic inflammatory disease to colorectal carcinoma. Colonic wall thickening may be accompanied by calcifications in mucinous adenocarcinoma of the colon, leiomyosarco-ma of the colon, schistosomiasis japonica, and phlebosclerotic colitis. Phlebosclerotic colitis is a rare entity of chronic ischemic colitis associated with sclerosis and fibrosis of mesenteric veins. Although its development is usually insidious, and, thus its diagnosis can be delayed, characteristic findings in phlebosclerotic colitis are calcifications of mesenteric veins as well as colonic wall thickening with calcifications. We report on a 71-year-old woman who presented with chronic diarrhea and intermittent hematochezia, who was first misdiagnosed as mucinous adenocarcinoma of the colon, but finally diagnosed as a rare entity of chronic ischemic colitis, phlebosclerotic colitis. Differential points of phlebosclerotic colitis from other diseases, including leiomyosarcoma and schistosomiasis japonica, are also described.
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KEYWORD
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Ischemic colitis, Mesenteric veins, Sclerosis, Vascular calcification
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