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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
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Chronic Bowel Disorders: Introduction01:17

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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
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Inflammatory Bowel Disease I: Ulcerative Colitis01:27

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Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
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The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
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Obstructive ileus caused by phlebosclerotic colitis.

Seung Hyun Lee1, Jong Wook Kim1, Se Jin Park1

  • 1Department of Internal Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.

Intestinal Research
|November 2, 2016
PubMed
Summary
This summary is machine-generated.

This study reports a rare case of obstructive ileus caused by phlebosclerotic colitis, a condition involving colon calcification. The patient recovered without surgery, highlighting a potential non-operative management approach for this rare gastrointestinal issue.

Keywords:
Herbal medicineIleusPhlebosclerosisPhlebosclerotic colitis

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Area of Science:

  • Gastroenterology
  • Vascular Medicine

Background:

  • Phlebosclerotic colitis is a rare condition characterized by calcification of colonic veins.
  • Chronic kidney disease and herbal medication use are potential contributing factors.
  • Obstructive ileus is a serious complication that can arise from colonic strictures.

Purpose of the Study:

  • To report a rare case of obstructive ileus secondary to phlebosclerotic colitis with a colon stricture.
  • To discuss the diagnostic findings and clinical course of this unusual presentation.
  • To highlight the potential for spontaneous resolution of obstructive ileus in such cases.

Main Methods:

  • Case report of a 57-year-old male patient with chronic kidney disease and a history of herbal medication use.
  • Diagnostic workup included abdominal radiography, computed tomography (CT), and colonoscopy.
  • Biopsy of the stricture site was performed during colonoscopy.

Main Results:

  • The patient presented with abdominal pain, vomiting, and radiographic evidence of small bowel distension and colonic calcifications.
  • CT revealed colon wall thickening with diffuse calcification along the colonic mesenteric vein and wall.
  • Colonoscopy showed edematous mucosa, scar changes, and a stricture in the mid transverse colon, preventing scope passage. Biopsy revealed nonspecific changes.

Conclusions:

  • Phlebosclerotic colitis can lead to colon strictures and obstructive ileus.
  • This case demonstrates the rare occurrence of obstructive ileus caused by phlebosclerotic colitis with a colon stricture.
  • The obstructive ileus spontaneously resolved without surgical intervention, suggesting conservative management may be effective in select cases.