Obstructive ileus caused by phlebosclerotic colitis
A 57-year-old man with chronic kidney disease and a history of using numerous herbal medications visited Inje University Ilsan Paik Hospital for abdominal pain and vomiting. An abdominal radiograph showed diffuse small bowel distension containing multiple air-fluid levels and extensive calcification...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Association for the Study of Intestinal Diseases
2016-10-01
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| Series: | Intestinal Research |
| Subjects: | |
| Online Access: | http://www.irjournal.org/upload/pdf/ir-14-369.pdf |
| _version_ | 1818361427777290240 |
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| author | Seung Hyun Lee Jong Wook Kim Se Jin Park Ju Yeol Heo Woo Hyun Paik Won Ki Bae Nam-Hoon Kim Kyung-Ah Kim June Sung Lee |
| author_facet | Seung Hyun Lee Jong Wook Kim Se Jin Park Ju Yeol Heo Woo Hyun Paik Won Ki Bae Nam-Hoon Kim Kyung-Ah Kim June Sung Lee |
| author_sort | Seung Hyun Lee |
| collection | DOAJ |
| description | A 57-year-old man with chronic kidney disease and a history of using numerous herbal medications visited Inje University Ilsan Paik Hospital for abdominal pain and vomiting. An abdominal radiograph showed diffuse small bowel distension containing multiple air-fluid levels and extensive calcifications along the colon. Computed tomography showed colon wall thickening with diffuse calcification along the colonic mesenteric vein and colonic wall. Colonoscopy, performed without bowel preparation, showed bluish edematous mucosa from the transverse to the distal sigmoid colon, with multiple scar changes. At the mid transverse colon, a stricture was noted and the scope could not pass through. A biopsy of the stricture site revealed nonspecific changes. The patient was diagnosed with phlebosclerotic colitis. After the colonoscopy, the obstructive ileus spontaneously resolved, and the patient was discharged without an operation. Currently, after 2 months of follow-up, the patient has remained asymptomatic. Herein, we report the rare case of an obstructive ileus caused by phlebosclerotic colitis with a colon stricture. |
| first_indexed | 2024-12-13T21:16:31Z |
| format | Article |
| id | doaj.art-4752e153b6634d2fbfaee0ae80339fc9 |
| institution | Directory Open Access Journal |
| issn | 1598-9100 2288-1956 |
| language | English |
| last_indexed | 2024-12-13T21:16:31Z |
| publishDate | 2016-10-01 |
| publisher | Korean Association for the Study of Intestinal Diseases |
| record_format | Article |
| series | Intestinal Research |
| spelling | doaj.art-4752e153b6634d2fbfaee0ae80339fc92022-12-21T23:31:13ZengKorean Association for the Study of Intestinal DiseasesIntestinal Research1598-91002288-19562016-10-0114436937410.5217/ir.2016.14.4.369173Obstructive ileus caused by phlebosclerotic colitisSeung Hyun Lee0Jong Wook Kim1Se Jin Park2Ju Yeol Heo3Woo Hyun Paik4Won Ki Bae5Nam-Hoon Kim6Kyung-Ah Kim7June Sung Lee8Department of Internal Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.Department of Internal Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.Department of Internal Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.Department of Internal Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.Department of Internal Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.Department of Internal Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.Department of Internal Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.Department of Internal Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.Department of Internal Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.A 57-year-old man with chronic kidney disease and a history of using numerous herbal medications visited Inje University Ilsan Paik Hospital for abdominal pain and vomiting. An abdominal radiograph showed diffuse small bowel distension containing multiple air-fluid levels and extensive calcifications along the colon. Computed tomography showed colon wall thickening with diffuse calcification along the colonic mesenteric vein and colonic wall. Colonoscopy, performed without bowel preparation, showed bluish edematous mucosa from the transverse to the distal sigmoid colon, with multiple scar changes. At the mid transverse colon, a stricture was noted and the scope could not pass through. A biopsy of the stricture site revealed nonspecific changes. The patient was diagnosed with phlebosclerotic colitis. After the colonoscopy, the obstructive ileus spontaneously resolved, and the patient was discharged without an operation. Currently, after 2 months of follow-up, the patient has remained asymptomatic. Herein, we report the rare case of an obstructive ileus caused by phlebosclerotic colitis with a colon stricture.http://www.irjournal.org/upload/pdf/ir-14-369.pdfPhlebosclerotic colitisPhlebosclerosisHerbal medicineIleus |
| spellingShingle | Seung Hyun Lee Jong Wook Kim Se Jin Park Ju Yeol Heo Woo Hyun Paik Won Ki Bae Nam-Hoon Kim Kyung-Ah Kim June Sung Lee Obstructive ileus caused by phlebosclerotic colitis Intestinal Research Phlebosclerotic colitis Phlebosclerosis Herbal medicine Ileus |
| title | Obstructive ileus caused by phlebosclerotic colitis |
| title_full | Obstructive ileus caused by phlebosclerotic colitis |
| title_fullStr | Obstructive ileus caused by phlebosclerotic colitis |
| title_full_unstemmed | Obstructive ileus caused by phlebosclerotic colitis |
| title_short | Obstructive ileus caused by phlebosclerotic colitis |
| title_sort | obstructive ileus caused by phlebosclerotic colitis |
| topic | Phlebosclerotic colitis Phlebosclerosis Herbal medicine Ileus |
| url | http://www.irjournal.org/upload/pdf/ir-14-369.pdf |
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