Progress of Digestive Endoscopy
Online ISSN : 2187-4999
Print ISSN : 1348-9844
ISSN-L : 1348-9844
症例
静脈硬化症による虚血性腸病変の1例
植田 健治阿部 公紀杉本 勝俊片上 利生日高 道生武田 一弥杉木 修治高瀬 雅久白鳥 泰正宮岡 正明森安 史典
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2002 年 61 巻 2 号 p. 112-113

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A 75-year-old woman who had persistent right abdominal pain for 16 months visited our department for the detailed examination. Plain abdominal X-ray film showed linear calcification along the colonic wall from the ascending to the descending colon. Abdominal CT scan showed marked colonic wall thickening with calcification of the ascending and transverse colon. Colonoscopic view showed blue-purple colored mucosa with indistinct vascular pattern from the cecum to the descending colon and several erosions in the transverse colon. Histological examination of the biopsied specimen showed hyaline like degeneration aroud the small blood vesels and fibrous thickening in the submucosa. Based on these findings, the patient diagnosed ischemic intestinal lesion caused by phlebosclerosis. This disease has rarely been reported and their pathogenesis remain unknown. We discuss the clinical and histological characteristics of this disease.
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© 2002 一般社団法人 日本消化器内視鏡学会 関東支部
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