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Ischemic Intestinal Lesion Caused by Phlebosclerosis with Marked Venous Calcification, Report of a Case Toshio Hoashi 1 , Kazuhiro Maeda 2 , Toshiyuki Matsui 1 , Tsuneyoshi Yao 1 , Kitaro Futami 3 1Department of Internal Medicine, Fukuoka University Chikushi Hospital 2The First Department of Internal Medicine, School of Medicine, Fukuoka University 3Department of Surgery, Fukuoka University Chikushi Hospital Keyword: 石灰化 , 静脈硬化症 , 虚血性腸病変 pp.967-973
Published Date 1993/8/25
DOI https://doi.org/10.11477/mf.1403106243
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 A 57-year-old man experienced right abdominal pain in the two years before the admission to the Fukuoka University Chikushi Hospital in August 1984. Barium enema showed sclerosis of the colonic wall, luminal narrowing and pseudo-diverticular formation of the ascending and transverse colon. A plain abdominal x-ray film showed marked tubular calcification of the vascular wall of the ascending colon. Colonoscopic examination showed the edematous and erythematous mucosa with indistinct vascular pattern, scattered longitudinal ulcers and luminal narrowing. Based on the x-ray and endoscopic findings, the patient was tentatively diagnosed with Crohn's disease and was treated with intravenous hyperalimentation. Because his symptom persisted with medical treatments, he underwent a subtotal colectomy. Histological examination of the resected specimen disclosed ischemic intestinal lesions caused by marked phlebosclerosis.

 As ischemic intestinal lesion caused by a venous factor has been rarely reported, we discuss the clinical and histological characteristics of this case.


Copyright © 1993, 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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