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Serial Endoscopic Changes in Mesenteric Phlebosclerosis, Report of a Case and a Review of the Literature Kayoko Shimizu 1 , Seiji Shimizu 1 , Hideki Koga 2 , Hidekazu Ishida 3 , Tatsuki Minami 1 , Mika Mihara 1 , Wataru Fukuda 1 , Hajime Honjo 1 , Yasuhide Mitsumoto 1 , Takahiro Mori 1 , Hideo Tomioka 1 1Department of Gastroenterology, JR WEST Osaka Railway Hospital, Osaka, Japan 2Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan 3Department of Pathology, JR WEST Osaka Railway Hospital, Osaka, Japan Keyword: 特発性腸間膜静脈硬化症 , 長期経過 , 集計報告 pp.259-266
Published Date 2009/2/25
DOI https://doi.org/10.11477/mf.1403101589
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 A 68-year-old woman consulted an outpatient clinic in our hospital after a positive fecal occult blood test. Initial colonoscopy demonstrated an abnormal mucosal color of the right colon only. Since that time, she underwent periodic colonoscopies during the next 5 years and a half. The second colonoscopy revealed edematous, dark-blue mucosa with dilated capillaries. The third colonoscopy showed varices-like, dilated vessels in the right colon. The latest colonoscopy demonstrated hyperemia, dark-blue edematous mucosa, erosions, and a loss of normal vascular pattern. Based on these pathognomonic endoscopic features, histologic findings of the biopsy samples and calcification of the mesenteric vessels shown on abdominal CT, a diagnosis of idiopathic mesenteric phlebosclerosis was made.

 Details of this case and a review of the literature reported from Japan are described in this article.


Copyright © 2009, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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