Phlebosclerotic colitis in a non-Asian patient: a case report

Abstract

Background Phlebosclerotic colitis is a rare condition with a high mortality. It has been seen almost exclusively in Asian patients who are ≥ 60 years old, with a slight male predominance. Although it predominantly affects the right colon and seems to be related in some cases to using natural herbal medicines, neither its etiology nor its pathogenesis are known. Case presentation We present an extremely rare case of a 62-year-old Spanish white man patient of non-Asian ethnicity with no history of using natural medications, who was diagnosed with phlebosclerotic colitis of submucosal veins. Conclusion To date, this is the only case reported in Spain, and only the second reported for Europe, in the literature. Due to the nonspecific symptoms and insidious radiological findings of this disease (both in early and mild stages) as well as exclusive submucosal involvement presented here, it is necessary that the treating physician has a high level of suspicion for its diagnosis.

Case report and literature review: Laparoscopic extended right hemicolectomy for a 55-year-old patient with idiopathic mesenteric phlebosclerosis

“…These 78 cases are further ( Table 1 ). The average age of these patients was 53 years old (22–84 years old), with a male-to-female incidence rate of approximately 1:0.9, and only two cases were from non-Asian regions, which is consistent with previous reports ( 10 , 11 ). Most patients (74.4%) had a history of long-term use of herbs or other medications.…”

Intestinal obstruction due to idiopathic mesenteric phlebosclerosis colitis: A case report

“…With more than 200 reported cases, IMP almost exclusively affects the Asian population, and it is most prevalent in Japan and China. Only few cases have been reported outside Asia ( 1 , 2 ). According to previous studies, IMP more commonly affects middle-aged and elderly men ( 3 ).…”