Abstract
Phlebosclerotic colitis is a rare ischemic disorder of the colon associated with phlebosclerosis of the mesenteric vein. Here we report a case of phlebosclerotic colitis treated by laparoscopic surgery. A 74-year-old female diagnosed with phlebosclerotic colitis for 10 years with no medication was admitted to our hospital with a complaint of severe anemia due to bloody bowel discharge. Colonoscopy showed stenosis with mucosal erosion from the ascending colon to the hepatic flexure of the transverse colon. Abdominal computed tomography (CT) showed a thickened colonic wall and nodular calcification of the mesenteric vein at the same site. We conducted a laparoscopic right hemicolectomy. Laparoscopic findings showed the colon was dark-red and the phlebosclerotic change of the mesenteric vein in the diseased lesion.
She was discharged on the 10th postoperative day with no postoperative complications. At the 2-year follow-up, she remained asymptomatic and no recurrence was noted.
