An unusual colonic mass in a phlebosclerosis patient

Yi Ding; Juan Yu; Jin-Yan Zhang; Qing-Qian Lu; Xiu-Rong Wu; Wei-Feng Huang

doi:10.1016/j.clinre.2022.101865

An unusual colonic mass in a phlebosclerosis patient

Clin Res Hepatol Gastroenterol. 2022 Apr;46(4):101865. doi: 10.1016/j.clinre.2022.101865. Epub 2022 Jan 14.

Authors

Yi Ding¹, Juan Yu², Jin-Yan Zhang², Qing-Qian Lu³, Xiu-Rong Wu⁴, Wei-Feng Huang⁵

Affiliations

¹ Department of Pathology, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.
² Department of Gastroenterology, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.
³ Endoscopy Center, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.
⁴ Department of Radiology, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.
⁵ Department of Gastroenterology, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China. Electronic address: hwf0625@xmu.edu.cn.

PMID: 35038575
DOI: 10.1016/j.clinre.2022.101865

Abstract

A 47-year-old man with idiopathic mesenteric phlebosclerosis presented to our hospital because of a 2-month history of diarrhea and edema of both lower limbs. Contrastenhanced abdominal computed tomography (CT) showed a 2-cm mass of mixed density in the ascending colon. On coloscopy, a solid, ulcerated, semi-pedunculated, lobulated protruding mass of 3.5×3.5×1.5 cm was observed and removed with hot snare polypectomy. Histologic examination demonstrated a hamartomatous polyp with normal epithelium and an inflammatory infiltrate with dilated, mucus-filled cystic glands in the lamina propria, indicating a juvenile polyp.

Keywords: Colonic Mass; Juvenile polyp; Phlebosclerosis.

Publication types

Case Reports

MeSH terms

Colon, Ascending / pathology
Colonic Neoplasms* / pathology
Colonic Polyps* / pathology
Colonoscopy / methods
Humans
Intestinal Polyps / pathology
Male
Middle Aged