Abstract
Phlebosclerotic colitis (PC) is a rare condition which impairs colonic venous return due to sclerosis and fibrosis of mesenteric veins, mostly observed in Asians. It may result in chronic ischemia, intestinal obstruction, and even perforation. A 64 year old male came complaining of abdominal pain and diarrhoea. He denied long term use of Chinese herbs. Physical examination showed diffuse tenderness without marked rebound tenderness. He underwent computed tomography angiography which revealed typical findings of PC: wall thickening and linear venous calcification of the ascending and transverse colon (A, B; arrows) Conservative treatment was initiated using alprostadil and low molecular weight heparin and his symptoms relieved remarkably.Image 1
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