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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...

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Autores principales: Lee, Seung Hyun, Kim, Jong Wook, Park, Se Jin, Heo, Ju Yeol, Paik, Woo Hyun, Bae, Won Ki, Kim, Nam-Hoon, Kim, Kyung-Ah, Lee, June Sung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Association for the Study of Intestinal Diseases 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5083267/
https://www.ncbi.nlm.nih.gov/pubmed/27799889
http://dx.doi.org/10.5217/ir.2016.14.4.369
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author Lee, Seung Hyun
Kim, Jong Wook
Park, Se Jin
Heo, Ju Yeol
Paik, Woo Hyun
Bae, Won Ki
Kim, Nam-Hoon
Kim, Kyung-Ah
Lee, June Sung
author_facet Lee, Seung Hyun
Kim, Jong Wook
Park, Se Jin
Heo, Ju Yeol
Paik, Woo Hyun
Bae, Won Ki
Kim, Nam-Hoon
Kim, Kyung-Ah
Lee, June Sung
author_sort Lee, Seung Hyun
collection PubMed
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.
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spelling pubmed-50832672016-10-31 Obstructive ileus caused by phlebosclerotic colitis Lee, Seung Hyun Kim, Jong Wook Park, Se Jin Heo, Ju Yeol Paik, Woo Hyun Bae, Won Ki Kim, Nam-Hoon Kim, Kyung-Ah Lee, June Sung Intest Res Case Report 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. Korean Association for the Study of Intestinal Diseases 2016-10 2016-10-17 /pmc/articles/PMC5083267/ /pubmed/27799889 http://dx.doi.org/10.5217/ir.2016.14.4.369 Text en © Copyright 2016. Korean Association for the Study of Intestinal Diseases. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Lee, Seung Hyun
Kim, Jong Wook
Park, Se Jin
Heo, Ju Yeol
Paik, Woo Hyun
Bae, Won Ki
Kim, Nam-Hoon
Kim, Kyung-Ah
Lee, June Sung
Obstructive ileus caused by phlebosclerotic colitis
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 Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5083267/
https://www.ncbi.nlm.nih.gov/pubmed/27799889
http://dx.doi.org/10.5217/ir.2016.14.4.369
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