Phlebosclerotic colitis in a non-Asian patient: a case report

Abstract Background Phlebosclerotic colitis is a rare condition with a high mortality. It has been seen almost exclusively in Asian patients who are ≥ 60 years old, with a slight male predominance. Although it predominantly affects the right colon and seems to be related in some cases to using natur...

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Main Authors: J. Mohigefer, P. Gómez-Millán, J. J. Borrero
Format: Article
Language:English
Published: BMC 2021-07-01
Series:Journal of Medical Case Reports
Subjects:
Online Access:https://doi.org/10.1186/s13256-021-02930-2
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author J. Mohigefer
P. Gómez-Millán
J. J. Borrero
author_facet J. Mohigefer
P. Gómez-Millán
J. J. Borrero
author_sort J. Mohigefer
collection DOAJ
description Abstract Background Phlebosclerotic colitis is a rare condition with a high mortality. It has been seen almost exclusively in Asian patients who are ≥ 60 years old, with a slight male predominance. Although it predominantly affects the right colon and seems to be related in some cases to using natural herbal medicines, neither its etiology nor its pathogenesis are known. Case presentation We present an extremely rare case of a 62-year-old Spanish white man patient of non-Asian ethnicity with no history of using natural medications, who was diagnosed with phlebosclerotic colitis of submucosal veins. Conclusion To date, this is the only case reported in Spain, and only the second reported for Europe, in the literature. Due to the nonspecific symptoms and insidious radiological findings of this disease (both in early and mild stages) as well as exclusive submucosal involvement presented here, it is necessary that the treating physician has a high level of suspicion for its diagnosis.
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spelling doaj.art-87ef102a6b2b42b984f68e010e9abe2b2022-12-21T21:58:21ZengBMCJournal of Medical Case Reports1752-19472021-07-011511510.1186/s13256-021-02930-2Phlebosclerotic colitis in a non-Asian patient: a case reportJ. Mohigefer0P. Gómez-Millán1J. J. Borrero2Pathology Unit, Hospital Universitario Virgen del RocíoRadiology Unit, Hospital Universitario Virgen del RocíoPathology Unit, Hospital Universitario Virgen del RocíoAbstract Background Phlebosclerotic colitis is a rare condition with a high mortality. It has been seen almost exclusively in Asian patients who are ≥ 60 years old, with a slight male predominance. Although it predominantly affects the right colon and seems to be related in some cases to using natural herbal medicines, neither its etiology nor its pathogenesis are known. Case presentation We present an extremely rare case of a 62-year-old Spanish white man patient of non-Asian ethnicity with no history of using natural medications, who was diagnosed with phlebosclerotic colitis of submucosal veins. Conclusion To date, this is the only case reported in Spain, and only the second reported for Europe, in the literature. Due to the nonspecific symptoms and insidious radiological findings of this disease (both in early and mild stages) as well as exclusive submucosal involvement presented here, it is necessary that the treating physician has a high level of suspicion for its diagnosis.https://doi.org/10.1186/s13256-021-02930-2Phlebosclerotic colitisSubmucosal veinsIschemic colitisCalcificationCase report
spellingShingle J. Mohigefer
P. Gómez-Millán
J. J. Borrero
Phlebosclerotic colitis in a non-Asian patient: a case report
Journal of Medical Case Reports
Phlebosclerotic colitis
Submucosal veins
Ischemic colitis
Calcification
Case report
title Phlebosclerotic colitis in a non-Asian patient: a case report
title_full Phlebosclerotic colitis in a non-Asian patient: a case report
title_fullStr Phlebosclerotic colitis in a non-Asian patient: a case report
title_full_unstemmed Phlebosclerotic colitis in a non-Asian patient: a case report
title_short Phlebosclerotic colitis in a non-Asian patient: a case report
title_sort phlebosclerotic colitis in a non asian patient a case report
topic Phlebosclerotic colitis
Submucosal veins
Ischemic colitis
Calcification
Case report
url https://doi.org/10.1186/s13256-021-02930-2
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