A Case of Enterocolic Lymphocytic Phlebitis Mimicking Surgical Abdomen
- Authors
- 서미령; 김태은; 류희정; 백한주; 최효진
- Issue Date
- 2014
- Publisher
- 대한류마티스학회
- Keywords
- Enterocolic lymphocytic phlebitis; Localized gastrointestinal vasculitis; Single-organ vasculitis
- Citation
- 대한류마티스학회지, v.21, no.2, pp.101 - 105
- Journal Title
- 대한류마티스학회지
- Volume
- 21
- Number
- 2
- Start Page
- 101
- End Page
- 105
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/13789
- ISSN
- 2093-940X
- Abstract
- Vasculitis that involves the gastrointestinal (GI) tract often occurs as part of a systemic inflammatory process. It is a well-recognized manifestation of the small and medium sized vessel vasculitides. Vasculitis of the GI tract may occur in isolation; although it can progress to a systemic illness. It usually involves the arterioles, venules, and capillaries; however, it is very rare for only the venules to be affected. Enterocolic lymphocytic phlebitis is a localized vasculitis, typically affecting the small and medium-sized intramural and mesenteric veins of the intestines. We report a case of enterocolic lymphocytic phlebitis of the colon. A 38-year-old woman was presented with hematochezia and severe abdominal pain on the day of admission. She had no history of intestinal disease or systemic disease. Computed tomography showed an extremely thickened wall of the colon, along with several air bubbles in the colon with diffuse subcutaneous emphysema in the abdominal wall. An emergency exploration laparotomy and extended right hemicolectomy was performed. The patient recovered completely after surgery and remains well without further therapy.
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