Abstract | AIMS: Enterocolic lymphocytic phlebitis (ELP) is an uncommon cause of bowel pathology and most frequently results in ischaemia. It is characterised by an artery-sparing, venulocentric lymphoid infiltrate that causes a phlebitis and vascular compromise. Rare cases of ELP have been encountered with lymphocytic colitis in the absence of ischaemic bowel change. The present study examined the occurrence of ELP in the setting of diversion colitis and inflammatory bowel disease, as well as in random colectomy specimens. METHODS: RESULTS: CONCLUSION: ELP occurs most frequently in cases that have been diverted for inflammatory bowel disease. Fewer cases of ELP were noted in cases of inflammatory bowel disease in the absence of diversion colitis. It is postulated that altered bowel flora and immune dysregulation may be pivotal in the causation of this association.
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Authors | R Chetty, S Hafezi, E Montgomery |
Journal | Journal of clinical pathology
(J Clin Pathol)
Vol. 62
Issue 5
Pg. 464-7
(May 2009)
ISSN: 1472-4146 [Electronic] England |
PMID | 19147627
(Publication Type: Journal Article, Multicenter Study)
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Topics |
- Adolescent
- Adult
- Aged
- Cohort Studies
- Colectomy
(adverse effects)
- Colitis
(etiology, pathology)
- Female
- Humans
- Ileostomy
(adverse effects)
- Inflammatory Bowel Diseases
(pathology, surgery)
- Male
- Middle Aged
- Phlebitis
(etiology, pathology)
- Rectum
(blood supply)
- Young Adult
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