TY - JOUR
T1 - Mesenteric phlebosclerosis complicating colonic cancer treated by endoscopic submucosal dissection
AU - Kawasaki, Keisuke
AU - Eizuka, Makoto
AU - Kudara, Norihiko
AU - Yanai, Shunichi
AU - Toya, Yosuke
AU - Torisu, Takehiro
AU - Umeno, Junji
AU - Nakamura, Shotaro
AU - Sugai, Tamotsu
AU - Matsumoto, Takayuki
N1 - Publisher Copyright:
© 2020, Japanese Society of Gastroenterology.
PY - 2020/12
Y1 - 2020/12
N2 - 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.
AB - 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.
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U2 - 10.1007/s12328-020-01205-5
DO - 10.1007/s12328-020-01205-5
M3 - Article
C2 - 32803642
AN - SCOPUS:85089444668
SN - 1865-7257
VL - 13
SP - 1183
EP - 1188
JO - Clinical Journal of Gastroenterology
JF - Clinical Journal of Gastroenterology
IS - 6
ER -
