Open AccessPhlebosclerotic Colitis: An Unusual Cause of Abdominal Pain and Hematochezia
Author(s) -
Jing Chi,
Yiding Ji,
Zhenguo Qiao,
Jiaping Qian
Publication year - 2020
Publication title -
revista española de enfermedades digestivas/revista española de enfermedades digestivas
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.331
H-Index - 38
eISSN - 2340-4167
pISSN - 1130-0108
DOI - 10.17235/reed.2020.7358/2020
Subject(s) - hematochezia , medicine , abdominal pain , colitis , colonoscopy , gastroenterology , colorectal cancer , cancer
A 64-year-old male presented to our department with right low abdominal pain and intermittent bloody stool of a five-day duration. He had a long history of drinking alcohol. Both wall thickening of the ascending colon and transverse colon and a dense shadow of the vascular wall of the peripheral mesentery were detected by abdominal computed tomography (CT) scans. Abdominal angiography revealed stenosis of the mesenteric artery and multiple calcifications of distal vessels of the ascending colon and transverse colon. Colonoscopy showed multiple ulcers in the ascending colon and transverse colon where the bowel walls were edematous, along with focal hyperplasia. Pathological studies showed inflammatory hyperplasia in the colonic mucosal tissue and a diagnosis of phlebosclerotic colitis (PC) was made.