특발성 정맥경화성 대장염: 만성 허혈성 장염의 드문 예

• Published in: The Korean journal of gastroenterology Vol. 63; no. 3; pp. 183 - 186
• Main Authors: 최종민, Jong Min Choi, 이강녕, Kang Nyeong Lee, 김해수, Hae Su Kim, 이상기, Sang Ki Lee, 이정규, Jung Gyu Lee, 이성원, Sung Won Lee, 이오영, Oh Young Lee, 최호순, Ho Soon Choi
• Format: Journal Article
• Language: Korean
• Published: 대한소화기학회 30.03.2014
• Subjects: Ischemic colitis; Mesenteric veins; Sclerosis; Vascular calcification
• ISSN: 1598-9992

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, leiomyosarcoma 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.