2019 年 27 巻 1 号 p. 12-14
Herein we describe a 42-year-old female with mesenteric phlebosclerosis of her ascending colon. She visited our hospital due to abdominal pain, and computed tomography revealed edematous ascending colon and remarkable calcification of the ileocolic and right colic veins. She had been taking kampo medicine for nearly 20 years, and ‘drug-induced’ mesenteric phlebosclerosis was diagnosed. Treatment with fasting and intravenous infusion therapy did not alleviate the symptom, therefore she underwent resection of the right side of the colon. Subsequent pathological examination confirmed the preoperative diagnosis, and the postoperative recovery was uneventful.
Kampo medicine is frequently used to alleviate multiple symptoms in patients with various medical problems, including gastrointestinal cancers. Although mesenteric phlebosclerosis is a rare condition, this should be considered when patients are on kampo medicine for a long period of time.
