Enterocolic lymphocytic phlebitis: an unusual cause of abdominal complaints

Krystyna Gałązka; Tomasz Tokarek; Tomasz Gach; Joanna Szpor

eISSN: 2084-9869
ISSN: 1233-9687

Polish Journal of Pathology

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1/2012
vol. 63

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abstract:

Enterocolic lymphocytic phlebitis: an unusual cause of abdominal complaints

Krystyna Gałązka

,

Tomasz Tokarek

,

Tomasz Gach

,

Joanna Szpor

Pol J Pathol 2012; 1: 75-79

Online publish date: 2012/04/24

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Enterocolic lymphocytic phlebitis (ELP) is a rare disease of unknown etiology involving most often the intramural and mesenteric small and medium-sized veins of the gastrointestinal tract. The diagnosis of the disorder is based on the histopathological examination of a surgical specimen as endoscopically obtained diagnostic material is usually too superficial. Clinical manifestation of ELP most frequently is characterized by acute symptoms, such as acute abdomen, signs suggesting acute appendicitis, gastrointestinal hemorrhage, sometimes it manifests as chronic gastrointestinal complaints. We report, to our knowledge for the first time in Poland, a case of ELP with clinical symptoms pointing to acute appendicitis, on laparoscopy manifesting as a tumorous mass in the colonic wall with an unchanged appendix.

keywords:

Enterocolic lymphocytic phlebitis: an unusual cause of abdominal complaints

Krystyna Gałązka , Tomasz Tokarek , Tomasz Gach , Joanna Szpor

enterocolic lymphocytic phlebitis, mesenteric veno-occlusive disease, lymphocytic vasculitis

Krystyna Gałązka

,

Tomasz Tokarek

,

Tomasz Gach

,

Joanna Szpor