Vasculitis that involves the gastrointestinal (GI) tract often occurs as part of a systemic inflammatory process. It is a well-recognized manifestation of the small and medium sized vessel
vasculitides.
Vasculitis of the
GI tract may occur in isolation; although it can progress to a systemic illness. It usually involves the
arterioles,
venules, and
capillaries; however, it is very rare for only the
venules to be affected. Enterocolic lymphocytic
phlebitis is a localized
vasculitis, typically affecting the small and medium-sized intramural and
mesenteric veins of the
intestines. We
report a case of enterocolic lymphocytic
phlebitis of the
colon. A 38-year-old
woman was presented with
hematochezia and severe
abdominal pain on the day of admission. She had no
history of
intestinal disease or systemic
disease. Computed
tomography showed an extremely thickened wall of the
colon, along with several
air bubbles in the
colon with diffuse
subcutaneous emphysema in the
abdominal wall. An
emergency exploration
laparotomy and extended right
hemicolectomy was performed. The
patient recovered completely after
surgery and remains well without further
therapy.