Abstract
We report a case of phlebosclerotic colitis with deep circumferential ulceration in which the characteristic findings were observed radiologically and endoscopically. Previously, the patient was diagnosed with colitis of unknown etiology in 1999 when a colonoscopy showed small erosions, ulcers, and dark purple mucosa in the right colon. As a result of parenteral nutrition treatment, his symptoms and ulcerations disappeared; however, the dark purple mucosa remained unchanged for three years on the annual endoscopic follow-up. Recurrent colitis associated with circumferential ulceration was diagnosed in 2002. The patient was treated again with only parenteral nutrition and his symptoms improved after a few days; the ulceration completely disappeared within seven months. This case emphasizes the benefit of nonsurgical treatment for phlebosclerotic colitis even in cases of deep circumferential ulceration.
Similar content being viewed by others
REFERENCES
T Yao A Iwashita T Hoashi et al. (2000) ArticleTitlePhlebosclerotic colitis: value of radiography in diagnosis-report of three cases Radiology 214 188–92 Occurrence Handle10644121 Occurrence Handle1:STN:280:DC%2BD3c7gs12gtQ%3D%3D
A Ikehata N Hiwatashi H Kawarada et al. (1994) ArticleTitleChronic ischemic colitis with marked calcifications of the mesenteric vessels, report of two cases Dig Endosc 6 355–64
Y Arimura Y Kondoh S Kurosawa et al. (1998) ArticleTitleChronic is-chemic colonic lesion caused by phlebosclerosis with calcification Am J Gastroenterol 93 2290–2 Occurrence Handle9820420 Occurrence Handle10.1111/j.1572-0241.1998.00641.x Occurrence Handle1:STN:280:DyaK1M%2Fjs1ejtA%3D%3D
T Kitamura M Kubo T Nakanishi et al. (1999) ArticleTitlePhlebosclerosis of the colon with positive anti-centromere antibody Intern Med 38 416–21 Occurrence Handle10397079 Occurrence Handle1:STN:280:DyaK1Mzitlajug%3D%3D
Y Maruyama F Watanabe S Kanaoka et al. (1997) ArticleTitleA case of phlebosclerotic ischemic colitis: a distinct entity Endoscopy 29 334 Occurrence Handle9255548 Occurrence Handle1:STN:280:ByiA1Mbkt1U%3D Occurrence Handle10.1055/s-2007-1004207
S Yoshinaga N Harada Y Araki et al. (2001) ArticleTitleChronic ischemic colonic lesion caused by phlebosclerosis: a case report Gastrointest Endosc 53 107–11 Occurrence Handle11154504 Occurrence Handle10.1067/mge.2001.111393 Occurrence Handle1:STN:280:DC%2BD3M3gt1ejsg%3D%3D
N Oshitani Y Matsumura M Kono et al. (2002) ArticleTitleAsymptomatic chronic intestinal ischemia caused by idiopathic phlebosclerosis of mesenteric vein Dig Dis Sci 47 2711–4 Occurrence Handle12498290 Occurrence Handle10.1023/A:1021090113274
A Iwashita T Yao RJ Schlemper et al. (2003) ArticleTitleMesenteric phlebosclerosis: a new disease entity causing ischemic colitis Dis Colon Rectum 46 209–20 Occurrence Handle12576895 Occurrence Handle10.1007/s10350-004-6526-0
Y Kimura K Kashima T Daa et al. (2003) ArticleTitlePhlebosclerotic colitis coincident with carcinoma in adenoma Pathol Int 53 721–5 Occurrence Handle14516325 Occurrence Handle10.1046/j.1440-1827.2003.01539.x
T Hoashi K Maeda T Matsui et al. (1993) ArticleTitleIschemic intestinal lesion caused by phlebosclerosis with marked venous calcification: report of a case [in Japanese with English abstract] Stomach and Intestine 28 967–73
A Iwashita S Takemura Y Yamada et al. (1993) ArticleTitlePathomorphologic study on ischemic lesions of the small and large intestine [in Japanese with English abstract] Stomach and Intestine 28 927–41
K Ohashi Y Idezuki M Okuyama T Imai (1992) ArticleTitleA case of chronic ischemic colitis with calcified lesions in the colonic vein [in Japanese with English abstract] J Jpn Soc Clin Surg 53 1660–4
N Koyama H Koyama T Hanajima et al. (1991) ArticleTitleChronic is-chemic colitis causing stenosis: report of a case [in Japanese with English abstract] Stomach and Intestine 26 455–60
M Tsuda S Kubota T Nakamura et al. (1995) ArticleTitleIschemic intestinal lesion caused by phlebosclerosis: report of a case [in Japanese with English abstract] Stomach and Intestine 30 709–14
T Maekawa K Yabuki K Sato et al. (1996) ArticleTitlePhlebosclerosis with marked calcification of the mesenteric vein: report of a case [in Japanese with English abstract] Stomach and Intestine 31 1287–92
R Fukushima K Okawa K Kin et al. (1997) ArticleTitleIschemic intestinal lesion caused by phlebosclerosis, report of a case [in Japanese with English abstract] Gastroenterol Endosc 39 960–6
T Ookawa T Ihaya K Kobayashi T Ogawa (1999) ArticleTitleIdiopathic phlebosclerosis of mesenteric vein report of two cases [in Japanese with English abstract] Jpn J Clin Radiol 44 1069–72
M Okazaki A Miyamoto S Murai C Fujio T Kudo T Kouro (1998) ArticleTitleA case of acute onset of ischemic colitis caused by phlebosclerosis [in Japanese] Operation 52 1271–6
R Yamada Y Yamamoto T Sato et al. (2002) ArticleTitleA case of phlebosclerotic colitis [in Japanese] Surgery 64 465–8
ACKNOWLEDGMENTS
The authors thank Dr. Akiko Ono for assistance.
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Saito, Y., Taniguchi, M., Tagawa, K. et al. Phlebosclerotic Colitis With Deep Circumferential Ulceration: Three-Year Endoscopic Follow-Up. Report of a Case. Dis Colon Rectum 48, 2347–2351 (2005). https://doi.org/10.1007/s10350-005-0200-z
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10350-005-0200-z