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。
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.