Korean Journal of Gastrointestinal Endoscopy 2009;38(6): 352-355.
특발성 장간막 정맥경화증 1예
허창재ㆍ김은영ㆍ오장석ㆍ김병석ㆍ한지민ㆍ정진태ㆍ권중구ㆍ김호각
대구가톨릭대학교 의과대학 내과학교실
A Case of Idiopathic Mesenteric Phlebosclerosis
Chang Jae Hur, M.D., Eun Young Kim, M.D., Jang Seok Oh, M.D., Byung Seok Kim, M.D., Ji Min Han, M.D., Jin Tae Jung, M.D., Joong Goo Kwon, M.D. and Ho Gak Kim, M.D.
Department of Internal Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea
Abstract
Idiopathic mesenteric phlebosclerosis (IMP) is a rare disease of chronic mesenteric ischemia characterized by a thickening of the colonic wall with fibrosis and calcification of the affected veins, which causes ischemic colitis. While the pathogenesis of IMP is unknown, characteristic radiographic, colonoscopic and histologic findings are evident. We report a case of IMP presenting with right lower abdominal pain and diarrhea in a 69-year-old woman. A plain abdominal radiograph revealed thread-like calcification in the colon. Colonoscopy showed dark purple-colored edematous mucosa and erosions in the colon. Histologic examination showed calcification in and around the submucosa and vascular wall. A barium enema demonstrated narrowing and thumb-printing from the ascending to the transverse colon. Abdominal CT disclosed a thickened colonic wall with intramural calcification and calcified mesenteric veins in the colon. (Korean J Gastrointest Endosc 2009;38:352-355)
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