Ischemic colitis, Phlebosclerotic colitis, Chronic renal failure"/> A Case of Phlebosclerotic Colitis in a Patient of Chronic Renal Failure
Korean J Gastrointest Endosc > Volume 38(2); 2009 > Article
Korean Journal of Gastrointestinal Endoscopy 2009;38(2): 107-110.
만성 신부전 환자에서 발생한 정맥경화성 대장염
가톨릭대학교 의과대학 내과학교실
A Case of Phlebosclerotic Colitis in a Patient of Chronic Renal Failure
Seung Chul Yu, M.D., Jin Il Kim, M.D., So Young Lee, M.D., Yong Jae Park, M.D., Sang Hee Kim, M.D., Dae Young Chung, M.D., Soo-Heon Park, M.D. and Jae Kwang Kim, M.D.
Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea
Phlebosclerotic colitis is a rare disease sub-entity of ischemic colitis that is caused by venous obstruction due to colonic and mesenteric venous calcifications. Abdominal pain, diarrhea and hematochezia are frequent symptoms of phlebosclerotic colitis. The disease is characterized by typical dark purple mucosa on endoscopy, various venous calcifications on radiological findings, and microscopic findings showing fibrous degeneration, mucosal bleeding and venous wall thickening. A 64-year-old male who was undergoing maintenance hemodialysis was admitted to our hospital due to hematochezia. There was typical dark purple colored mucosa seen on colonoscopy, multiple abdominal calcifications were seen on radiology and diffuse necrosis and inflammatory changes were seen on the histophathology, but there was no mesenteric arterial occlusion seen on abdominal CT. On the basis of these findings, we diagnosed the patient as having phlebosclerotic colitis. To the best of our knowledge, this is the first reported case of phlebosclerotic colitis in Korea. (Korean J Gastrointest Endosc 2009;38:107-110)
Key Words: Ischemic colitis, Phlebosclerotic colitis, Chronic renal failure
주요어: 허혈성 대장염, 정맥경화성 대장염, 만성신부전
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