肠结肠淋巴细胞性静脉炎：来自文献回顾的临床见解

IF 2.1 4区医学 Q1 MEDICINE, GENERAL & INTERNAL

Medicina Clinica Pub Date : 2025-06-23 DOI:10.1016/j.medcli.2025.107065

Ying Zhao , Xiaoying Zhang , Yongsheng Li , Jinhua He , Zeping Han

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引用次数: 0

摘要

目的小肠结肠淋巴细胞性静脉炎（ELP）是一种罕见的静脉特异性胃肠道炎症，术前诊断具有挑战性。我们的目的是表征其临床病理谱。患者和方法本综述综合了50篇文章中85例已发表病例（9-81年）的证据，以表征ELP的临床病理特征和诊断缺陷，以及其与其他血管疾病（如Behcet病、系统性红斑狼疮、肠系膜炎症性静脉闭塞疾病、肠系膜静脉特发性肌内膜增生和igg4相关疾病）的区别。结果selp具有广泛的临床和组织学表现，主要累及右结肠/小肠，与急腹症相似。诊断依赖于术后组织病理学显示静脉淋巴细胞浸润。结论ELP是一种未被诊断的临床病理实体，ELP的诊断主要是在组织学切除后做出的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Enterocolic lymphocytic phlebitis: Clinical insights from a literature review

Objective

Enterocolic lymphocytic phlebitis (ELP) is a rare venous-specific gastrointestinal inflammation with challenging preoperative diagnosis. We aimed to characterize its clinicopathological spectrum.

Patients and methods

This narrative review synthesizes evidence from 85 published cases (9–81 years) from 50 articles to characterize ELP's clinicopathological features and diagnostic pitfalls, along with its differentiation from other vasculitides, such as Behcet's disease, systemic lupus erythematosus, mesenteric inflammatory veno-occlusive disease, idiopathic myointimal hyperplasia of the mesenteric veins and IgG4-related diseases.

Results

ELP has a wide range of clinical and histological presentations, it predominantly affects the right colon/small bowel, mimicking acute abdomen. Diagnosis relies on postoperative histopathology showing venular lymphocytic infiltration.

Conclusion

ELP represents a underdiagnosed clinicopatologic entity, a diagnosis of ELP is predominantly made after histological resection.

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来源期刊

Medicina Clinica 医学-医学：内科

CiteScore

3.10

自引率

5.10%

发文量

295

审稿时长

22 days

期刊介绍： Medicina Clínica, fundada en 1943, es una publicación quincenal dedicada a la promoción de la investigación y de la práctica clínica entre los especialistas de la medicina interna, así como otras especialidades. Son características fundamentales de esta publicación el rigor científico y metodológico de sus artículos, la actualidad de los temas y, sobre todo, su sentido práctico, buscando siempre que la información sea de la mayor utilidad en la práctica clínica.