PDF(Pubmed)
Abstract：
Enterocolic lymphocytic phlebitis is a rare lymphocytic vasculitis afflicting the gastrointestinal veins without involving the arterial system. Lymphocytic colitis is a more common pathology described as lymphocytic inflammation of the colonic epithelium. Concurrence of both these pathologies is extremely rare. We describe a 53-year-old man presenting with chronic watery diarrhea, abdominal pain, and weight loss. Colonoscopic examination revealed normal-appearing mucosa, but biopsy findings revealed lymphocytic colitis with coexisting enterocolic lymphocytic phlebitis. The patient was started on oral budesonide and responded to the treatment with symptomatic and histopathological resolution.
摘要：
肠淋巴细胞性静脉炎是一种罕见的淋巴细胞性血管炎，困扰胃肠道静脉而不涉及动脉系统。淋巴细胞性结肠炎是一种更常见的病理，被描述为结肠上皮的淋巴细胞性炎症。这两种病症的同时发生极为罕见。我们描述了一个53岁的男性，患有慢性水样腹泻，腹痛,和减肥。结肠镜检查显示粘膜正常，但活检结果提示淋巴细胞性结肠炎合并肠淋巴细胞性静脉炎.患者开始口服布地奈德，对症治疗和组织病理学缓解。
