Magnetic Resonance Enterography of Phlebosclerotic Colitis: A Case Report.

IF 1.1 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Yu-Xuan Kho, Chien-Ming Chen, Sung-Yu Chu
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引用次数: 0

Abstract

Background: Phlebosclerotic colitis is a rare type of chronic ischemic colitis, with most documented cases occurring in Asians. Plain-film and computed tomography findings of pericolonic vascular calcifications are diagnostic. However, Magnetic Resonance Enterography (MRE) findings of phlebosclerotic colitis have not yet been reported, and its diagnosis might be overlooked without awareness of this disease.

Case report: A 70-year-old female patient without prior systemic disease presented with a 3-month history of nausea, vomiting, abdominal pain, and diarrhea. Personal history was unremarkable except for long-term use of herbal medicine. She was initially investigated at a regional hospital with a colonoscopy and biopsy. Due to the presence of stenosis at the transverse colon and biopsy results suggestive of Inflammatory Bowel Disease (IBD), she was referred to our hospital for further investigation and treatment. MRE was performed as part of the IBD workup, which showed a thickened ascending and transverse colonic wall that was fibrotic, non-edematous, and with triangular projections on the mesenteric aspect. Owing to findings that were inconsistent with IBD, subsequent abdominal plain-film radiography confirmed characteristic linear dendritic serpiginous radiopaque opacities alongside the ascending and transverse colon. Re-biopsy of the affected colon confirmed the diagnosis of phlebosclerotic colitis. The patient's symptoms improved after conservative treatment.

Conclusion: MRE of phlebosclerotic colitis appears as symmetrical non-edematous bowel wall thickening with triangular signal voids indicative of venous calcifications.

静脉硬化性结肠炎的磁共振肠造影1例报告。
背景:静脉硬化性结肠炎是一种罕见的慢性缺血性结肠炎,大多数病例发生在亚洲。结肠周围血管钙化的平片和计算机断层扫描表现具有诊断价值。然而,静脉硬化性结肠炎的磁共振肠图(MRE)发现尚未报道,其诊断可能被忽视,没有意识到这种疾病。病例报告:70岁女性患者,既往无全身性疾病,有恶心、呕吐、腹痛、腹泻3个月病史。除长期使用草药外,个人病史无显著差异。她最初在一家地区医院接受结肠镜检查和活检检查。由于横结肠狭窄,活检提示炎症性肠病(IBD),她被转到我们医院进一步检查和治疗。MRE作为IBD检查的一部分,显示升结肠和横结肠壁增厚,纤维化,无水肿,肠系膜侧呈三角形突起。由于发现与IBD不一致,随后的腹部平片证实了升结肠和横结肠旁特征性的线状树状蛇形不透明影。受影响的结肠再次活检证实了静脉硬化性结肠炎的诊断。经保守治疗,患者症状好转。结论:静脉硬化性结肠炎的MRE表现为对称性非水肿性肠壁增厚伴三角形信号空洞,提示静脉钙化。
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来源期刊
CiteScore
2.60
自引率
0.00%
发文量
246
审稿时长
1 months
期刊介绍: Current Medical Imaging Reviews publishes frontier review articles, original research articles, drug clinical trial studies and guest edited thematic issues on all the latest advances on medical imaging dedicated to clinical research. All relevant areas are covered by the journal, including advances in the diagnosis, instrumentation and therapeutic applications related to all modern medical imaging techniques. The journal is essential reading for all clinicians and researchers involved in medical imaging and diagnosis.
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