Phlebosclerotic colitis: an analysis of clinical and CT findings in 29 patients with long-term follow-up

Background Phlebosclerotic colitis (PC) is a rare form of nonthrombotic colonic ischemia. This retrospective study analyzed the clinical findings and temporal CT changes in 29 PC patients with long-term follow-up. Methods Twenty-nine patients with characteristic CT features of PC collected between 1...

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Bibliographic Details
Published in:Insights into imaging 2022-01, Vol.13 (1), p.19-19, Article 19
Main Authors: Ko, Sheung-Fat, Chen, Hong-Hwa, Huang, Chung-Cheng, Lin, Li-Han, Ng, Shu-Hang, Lee, Yi-Wei
Format: Article
Language:English
Subjects:
Abdomen
Colitis (ischemia)
Colitis (phlebosclerosis)
Diagnostic Radiology
Imaging
Inflammatory bowel disease
Internal Medicine
Interventional Radiology
Liver cirrhosis
Medicine
Medicine & Public Health
Mesenteric veins (calcifications)
Mesentery (phlebosclerosis)
Neuroradiology
Original
Original Article
Radiology
Segments
Thickening
Tomography (X-ray computed)
Ultrasound
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Summary:Background Phlebosclerotic colitis (PC) is a rare form of nonthrombotic colonic ischemia. This retrospective study analyzed the clinical findings and temporal CT changes in 29 PC patients with long-term follow-up. Methods Twenty-nine patients with characteristic CT features of PC collected between 1997 and 2020 were stratified into the acute abdomen group (AA-group) ( n  = 10), chronic-progressive group (CP-group) ( n  = 14) and chronic-stable group (CS-group) ( n  = 5). Clinical and CT changes during follow-up, comorbidities and final outcomes were compared. Results The AA-group exhibited a significantly thicker colonic wall and more involved segments and pericolic inflammation than the CP-group and CS-group on initial CT ( p  =  
ISSN:1869-4101
1869-4101
DOI:10.1186/s13244-022-01159-x