Clin Endosc.  2015 Sep;48(5):447-451. 10.5946/ce.2015.48.5.447.

Phlebosclerotic Colitis in a Healthy Young Woman

• Park JK
• Sung YH
• Cho SY
• Oh CY
• An SH

• KMID: 2148560
• DOI: http://doi.org/10.5946/ce.2015.48.5.447

Abstract

Phlebosclerotic colitis is a rare disease of intestinal ischemia and differentiating it from the typical ischemic colitis. It is caused by venous obstruction due to colonic and mesenteric venous calcification. We report a 36-year-old woman presenting with intermittent abdominal pain. Initial radiologic findings showed multiple tortuous thread-like calcifications in the region of the right side of the colon and transverse colon on plain abdominal radiographs and computed tomography images. In the colonoscopy, edematous dark-bluish colonic mucosa, sclerotic colon wall, and multiple ulcers without clear boundaries were observed from the ascending colon to the transverse colon. In the sigmoid colon only showed the edematous dark-bluish colonic mucosa, sclerotic colon wall. On the basis of these findings, we diagnosed the patient as having phlebosclerotic colitis. We report a rare case of phlebosclerotic colitis in healthy young woman.

Keyword

Phlebosclerotic colitis; Healthy young woman; Venous obstruction

MeSH Terms

Abdominal Pain
Adult
Colitis*
Colitis, Ischemic
Colon
Colon, Ascending
Colon, Sigmoid
Colon, Transverse
Colonoscopy
Female
Humans
Ischemia
Mucous Membrane
Rare Diseases
Ulcer

Figure

• 

  Fig. 1 Plain abdominal radiographic finding. It showed multiple linear calcifications in the right lower quadrant (white arrows).

• 

  Fig. 2 (A, B) Abdominopelvic computed tomography finding. The enhanced computed tomography showed the thickening of the colonic wall with calcifications (white arrows).

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  Fig. 3 Colonoscopic findings. (A, B) It noted dark blue colored edematous mucosa and ulcerations without clear boundaries from ascending colon to the sigmoid colon. (C) The follow-up colonoscopy. Improved fine ulcers were found in the ascending colon after 10 days of a discharge.

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  Fig. 4 Superior mesenteric angiography. (A) It indicated irregularity and tortuosity (arrows) of marginal arteries and vasa recta in right colic area at the arterial phase. (B) It indicated venous pooling (arrows) along the ascending colon at the delayed phase.

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  Fig. 5 Histologic finding. It shows tortuous veins (arrows) and fibrosis in vessel wall of ascending colonic mucosa (H&E stain, ×200).

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