Chronic Ischemic Colitis Associated with Marked Calcifications of the Mesenteric Vessels —Report of Two Cases—

Atsushi IKEHATA, Nobuo HIWATASHI, Hiroaki KAWARADA, Hideo YAMAZAKI, Kaoru ITO, Yoshitaka KINOUCHI, Mitsuo KIMURA, Mitsunori NOGUCHI, Hiroki MAEKAWA, Hiroto SUZUKI, Takenobu SHIMADA, Jun YAMAGATA, Takayoshi TOYOTA

研究成果: Article査読

36 被引用数 (Scopus)


Abstract: Phlebosclerosis of the mesenteric vein is a rare cause of ischemic colitis. The current report includes two patients with segmental ischemic colitis associated with marked calcifications of the mesenteric vessels. No evidence of systemic vasculitis, tuberculosis nor amyloidosis was observed. The patients were previously healthy and had no history of drug use of any kind. Clinical findings included abdominal pain in the right upper quadrant and diarrhea alternating with constipation, and colonic narrowing were discoverd by barium enema. An abdominal X‐ray examination revealed some patchy calcifications in the right and left upper quadrants. An angiography of the superior mesenteric artery revealed sclerosis of the artery, disturbance of colonic blood flow, and calcifications of the mesenteric vessels. The patients were treated with an anticoagulant. In follow‐up studies, barium enema and colonoscopy revealed a gradual progression of the disease over the last five years. Treatment with an anticoagulant may have prevented rapid advancement of the disease and thereby eliminated the need for emergency operations. These unusual venous lesions have been rarely reported, and their etiology and pathogenesis remain unknown.

ジャーナルDigestive Endoscopy
出版ステータスPublished - 1994 10月

ASJC Scopus subject areas

  • 放射線学、核医学およびイメージング
  • 消化器病学


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