Mesenteric phlebosclerosis complicating colonic cancer treated by endoscopic submucosal dissection.

Autor: Kawasaki, Keisuke, Eizuka, Makoto, Kudara, Norihiko, Yanai, Shunichi, Toya, Yosuke, Torisu, Takehiro, Umeno, Junji, Nakamura, Shotaro, Sugai, Tamotsu, Matsumoto, Takayuki
Zdroj: Clinical Journal of Gastroenterology; 2020, Vol. 13 Issue 6, p1183-1188, 6p
Abstrakt: A 67-year old woman with a history of long-term Chinese herb use was admitted to our institution complaining of abdominal pain. Barium enema disclosed rigidity of throughout the proximal colon and a slightly elevated lesion in the transverse colon. Colonoscopy showed diffuse and bronze mucosa in the proximal colon, which was compatible with mesenteric phlebosclerosis. There was also a reddish, elevated lesion in the transverse colon. Magnifying colonoscopy revealed irregular microsurface and microvessels on the surface of the lesion. Under a diagnosis of intramucosal cancer, the elevated lesion was treated by endoscopic submucosal dissection. Histological examination of the resected specimen showed intramucosal well-differentiated adenocarcinoma, and fibrous thickening of the vascular wall together with collagen deposition in the submucosa. The final diagnosis was an intramucosal cancer occurring in mesenteric phlebosclerosis. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index