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Chronic ischemic lesions of the colon caused by phlebosclerosis of ileocolic mesenteric vein
Author(s) -
Nishimura Genichi,
Nagai Noboru,
Ninomiya Itasu,
Kitagawa Hirohisa,
Fujimura Takashi,
Kayahara Masato,
Ohta Tetsuo,
Miwa Koichi,
omura Akio
Publication year - 2004
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.2003.00334.x
Subject(s) - medicine , ischemic colitis , calcification , radiology , superior mesenteric vein , barium enema , pathological , colonoscopy , transverse colon , vein , lesion , cecum , surgery , gastroenterology , pathology , colorectal cancer , colitis , cancer , portal vein
Phlebosclerosis of the mesenteric vein is a rare cause of intestinal ischemia. We report a case of chronic ischemic lesions of the colon caused by phlebosclerosis accompanied by marked venous calcification. A 77‐year‐old Japanese man with intestinal obstruction was admitted to Kanazawa University Hospital. Barium enema examination demonstrated narrowing in the right colon, while colonoscopy showed dark purple‐colored edematous mucosa and erosions from the cecum to the transverse colon. Computed tomography disclosed a substantially thickened colonic wall with intramural calcification and a calcified mesenteric vein in the right colon. As abdominal pain persisted, despite treatment with total parenteral nutrition for 3 months, a right hemicolectomy was performed. The pathological findings of the resected specimen were marked fibrous thickening of the submucosal layer, and fibrous thickening of the venous wall accompanied by hyalinization and calcification. These features indicated chronic ischemic lesion caused by phlebosclerosis.