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Enterocolic Lymphocytic Phlebitis with Disseminated Intravascular Coagulation-Like Features - A Case Report

DOI: 10.6051/j.issn.2224-3992.2012.01.073

Keywords: Colonic ischemia , Venous thrombosis , Lymphocytic phlebitis , Disseminated intravascular coagulation

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Abstract:

We report herein a case of colonic infarction caused by lymphocyticphlebitis. Due to its very rare occurrence, a correct diagnosis was notmade until a surgical specimen was obtained. Initially, the patient wastreated conservatively as severe colitis, but subsequent laboratorytest results suggested worsening of the general condition includingdisseminated intravascular coagulation (DIC), thus, colectomy wasperformed. After the operation, the patient’s condition improvedrapidly and completely. The excessive consumption of platelets andcoagulation factors, which promoted the DIC-like features, wasthought to have been restricted to the inflamed veins of the damagedcolon.

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