A Case of Enterocolic Lymphocytic Phlebitis Mimicking Surgical Abdomen
´ëÇÑ·ù¸¶Æ¼½ºÇÐȸÁö 2014³â 21±Ç 2È£ p.101 ~ p.105
¼¹Ì·É(Seo Mi-Ryoung) - Gachon University School of Medicine Department of Internal Medicine
±èÅÂÀº(Kim Tae-Eun) - Sungkyunkwan University School of Medicine Department of Pathology
·ùÈñÁ¤(Ryu Hee-Jung) - Gachon University School of Medicine Department of Internal Medicine
¹éÇÑÁÖ(Baek Han-Joo) - Gachon University School of Medicine Department of Internal Medicine
ÃÖÈ¿Áø(Choi Hyo-Jin) - Gachon University School of Medicine Department of Internal Medicine
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 oc-cur in isolation; although it can progress to a systemic illness. It usually involves the arterioles, venules, and capil-laries; 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 re-port a case of enterocolic lymphocytic phlebitis of the colon. A 38-year-old woman was presented with hema-tochezia and severe abdominal pain on the day of admission. She had no history of intestinal disease or sys-temic 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 pa-tient recovered completely after surgery and remains well without further therapy.
Å°¿öµå
Enterocolic lymphocytic phlebitis, Localized gastrointestinal vasculitis, Single-organ vasculitis
KMID :
0388220140210020101
¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸
µîÀçÀú³Î Á¤º¸
À¯È¿¼º°á°ú(Recomendation)