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Case 296: Phlebosclerotic Colitis.

Chen-Yen Lu¹, Po-Chun Tseng¹, Kuan-Chih Chen¹

¹From the Division of Gastroenterology and Hepatology, Department of Internal Medicine (C.Y.L., P.C.T., K.C.C., T.H.L., C.K.L., C.S.C.), and Department of Radiology (C.C.H., Y.M.T.), Far Eastern Memorial Hospital, 21 Nan-Ya South Rd, Section 2, Banciao District, New Taipei City, Taiwan 22060; and College of Medicine, Fu Jen Catholic University, New Taipei City, Taiwan (C.S.C.).

|November 22, 2021

Summary

This summary is machine-generated.

A woman experienced abdominal pain after consuming herbal medicine. Further investigation revealed elevated C-reactive protein, prompting advanced imaging and colonoscopy for diagnosis.

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Area of Science:

Gastroenterology
Toxicology

Background:

A 55-year-old woman with no prior systemic diseases presented with a week of generalized abdominal pain.
She had a history of consuming herbal medicine for physical conditioning over several years.

Observation:

Laboratory results were largely normal, except for an elevated serum C-reactive protein (CRP) level of 7.719 mg/dL.
Initial evaluation included abdominal radiography, followed by noncontrast computed tomography (CT) of the abdomen and colonoscopy.

Findings:

The abstract does not contain specific findings from the CT or colonoscopy, but these investigations were performed to determine the cause of the abdominal pain and elevated CRP.

Implications:

This case highlights the importance of considering herbal medicine as a potential cause of unexplained abdominal pain and inflammation.
Further diagnostic workup, including advanced imaging and endoscopic procedures, is crucial in such cases to identify underlying pathology.