Endoscopic submucosal dissection in a patient with idiopathic mesenteric phlebosclerosis
| Journal | Volume 82 - 2019 |
| Issue | Fasc.2 - Clinical images |
| Author(s) | R. Schroder, Y. Nakano, T. Toyonaga, H. Abe, R. Ariyoshi, S. Tanaka, T. Takao, Y. Morita, E. Umegaki, Y. Kodama |
| Full article |
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| (1) Department of Gastroenterology, Gelre Ziekenhuis, Apeldoorn, The Netherlands ; (2) Division of Gastroenterology, Department of Internal Medicine, Graduate School of Medicine, Kobe University, Kobe, Japan ; (3) Department of Endoscopy, Kobe University Hospital, Kobe, Japan ; (4) Department of Endoscopy, Kishiwada Tokushukai Hospital, Kishiwada, Japan. |
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An 80-year-old female presented to a previous hospital with chronic watery diarrhea. Diagnostic colonoscopy showed laterally spreading tumors (LST-NG) in the ascending colon. She was referred to our hospital for endoscopic treatment. Her medical history included non-Hodgkin lymphoma, which was in complete remission; myocardial infarc- tion ; and hypothyroidism. She had been taking various oral medicines, such as aspirin, a telmisartan- amlodipine combination drug, furosemide, omeprazole, levothyroxine sodium, and pregabalin; however, she had not been taking any herbal medicines. She had no history of smoking or alcohol consumption. Computed tomography revealed thread-like calcifi- cations in the right and middle colic veins. Colonoscopy performed at our hospital as a pretreatment examination revealed edematous dusky blue mucosae in the ascending and transverse colon, and endoscopic ultrasonography showed calcification in the submucosa and muscle layer. Several suspected adenomas, which exhibited the type IV pit pattern, were observed in the ascending colon, the largest of which was a 30-mm LST |
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© Acta Gastro-Enterologica Belgica. PMID 31314205 |
