Korean J Gastroenterol.  2012 Jan;59(1):40-43. 10.4166/kjg.2012.59.1.40.

A Case of Phlebosclerotic Colitis in a Hemodialysis Patient

• Song JH
• Kim JI
• Jung JH
• Kim JH
• Lee SH
• Cheung DY
• Park SH
• Kim JK

• KMID: 1775831
• DOI: http://doi.org/10.4166/kjg.2012.59.1.40

Abstract

Phlebosclerotic colitis is a rare disease of intestinal ischemia caused by calcified peripheral mesenteric veins and a thickened colonic wall, differentiating it from the typical ischemic colitis. A 68-year-old man who was undergoing hemodialysis presented with hematochezia and abdominal pain. Colonoscopic findings showed typical dark purple-colored edematous mucosa. Linear calcifications in the colon were noted on both a plain abdominal radiolography and abdominal computer tomography. These findings suggested that the patient suffered from phlebosclerotic colitis. Following bowel rest and fluid therapy, there was full recovery. We herein report a rare case of phlebosclerotic colitis in a hemodialysis patient and include a review of the relevant literature.

Keyword

Phlebosclerotic colitis; Ischemic colitis; Hemodialysis

MeSH Terms

Abdominal Pain
Aged
Calcinosis
Colitis/*diagnosis/radiography
Colonoscopy
Gastrointestinal Hemorrhage
Humans
Male
Mesenteric Veins
Renal Dialysis
Tomography, X-Ray Computed

Figure

• 

  Fig. 1 Plain abdominal radiographic finding. It showed multiple linear calcifications (white arrows) in the right lower quadrant and epigastric area.

• 

  Fig. 2 Colonoscopic findings. Those revealed dark green colored edematous mucosa and ulcerations with well defined margin from the cecum to the ascending colon. (A) Proximal ascending colon, (B) distal ascending colon.

• 

  Fig. 3 The unenhanced computer tomographic scan of abdomen. It showed the thickening of the colonic wall with calcifications (white arrow).

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  Fig. 4 After 12 days, follow-up colonoscopic findings. Those showed marked improvement of the colonic mucosa. (A) Proximal ascending colon, (B) distal ascending colon.

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