title: Obstructive ileus caused by phlebosclerotic colitis.
abstract: A 57-year-old man with chronic kidney disease and a history of using numerous herbal medications visited Inje University Ilsan Paik Hospital for abdominal pain and vomiting. An abdominal radiograph showed diffuse small bowel distension containing multiple air-fluid levels and extensive calcifications along the colon. Computed tomography showed colon wall thickening with diffuse calcification along the colonic mesenteric vein and colonic wall. Colonoscopy, performed without bowel preparation, showed bluish edematous mucosa from the transverse to the distal sigmoid colon, with multiple scar changes. At the mid transverse colon, a stricture was noted and the scope could not pass through. A biopsy of the stricture site revealed nonspecific changes. The patient was diagnosed with phlebosclerotic colitis. After the colonoscopy, the obstructive ileus spontaneously resolved, and the patient was discharged without an operation. Currently, after 2 months of follow-up, the patient has remained asymptomatic. Herein, we report the rare case of an obstructive ileus caused by phlebosclerotic colitis with a colon stricture.
authors: Department of Internal Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.
authors: Seung Hyun
authors: SH
authors: Lee
authors: Department of Internal Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.
authors: Jong Wook
authors: JW
authors: Kim
authors: Department of Internal Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.
authors: Se Jin
authors: SJ
authors: Park
authors: Department of Internal Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.
authors: Ju Yeol
authors: JY
authors: Heo
authors: Department of Internal Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.
authors: Woo Hyun
authors: WH
authors: Paik
authors: Department of Internal Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.
authors: Won Ki
authors: WK
authors: Bae
authors: Department of Internal Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.
authors: Nam-Hoon
authors: NH
authors: Kim
authors: Department of Internal Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.
authors: Kyung-Ah
authors: KA
authors: Kim
authors: Department of Internal Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.
authors: June Sung
authors: JS
authors: Lee
keywords: Herbal medicine; Ileus; Phlebosclerosis; Phlebosclerotic colitis