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Nasher O, Alizai N. Enterocolic lymphocytic phlebitis: a rare pathology in children. BMJ Case Rep 2021; 14:e243826. [PMID: 34426428 PMCID: PMC8383883 DOI: 10.1136/bcr-2021-243826] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/05/2021] [Indexed: 11/04/2022] Open
Abstract
Enterocolic lymphocytic phlebitis (ELP) is a rare pathology, usually seen in the adult population. The condition affects the venous vasculature of the intestine sparing the arteries and lymphatics. It is commonly identified histologically after surgical resection making the preoperative diagnosis a clinical challenge. As the condition can lead to intestinal ischaemia and necrosis, surgical resection of the affected segment is the treatment of choice. We report the case of a 9-year-old girl who presented with a 2-day history of lower abdominal pain and anorexia. The initial diagnosis of appendicitis was made clinically and the patient underwent a diagnostic laparoscopy . The appendix was macroscopically normal and there were no other obvious intra-abdominal pathologies to account for her presenting complaints . The appendix was removed, as per the preoperative discussion and consent from parents. She recovered well and was discharged home the following day. The histological examination of the appendix demonstrated ELP. We describe this rare clinical entity in a child especially in view of the scarce published literature in the paediatric population.
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Affiliation(s)
- Omar Nasher
- Paediatric Surgery, Leeds Teaching Hospitals NHS Trust, Leeds, UK
| | - Naved Alizai
- Paediatric Surgery, Leeds Teaching Hospitals NHS Trust, Leeds, UK
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Farber ON, Weingarden A, Lee C, Braxton DR, Bingham D, Scott G, Fernandez-Becker N, Goff D, Shelton A, Kin C. Not in the Same Vein: Inflammatory Bowel Disease, Malignancy, and Enterocolic Lymphocytic Phlebitis. Dig Dis Sci 2021; 66:413-418. [PMID: 32594463 DOI: 10.1007/s10620-020-06425-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/09/2022]
Affiliation(s)
- Orly N Farber
- Department of Surgery, Stanford University School of Medicine, 300 Pasteur Drive, H3690, Stanford, CA, 94305, USA
| | - Alexa Weingarden
- Department of Medicine, Division of Gastroenterology and Hepatology, Stanford University School of Medicine, 430 Broadway, Pavilion C, 3rd Floor, Redwood City, CA, 94063, USA
| | - Christopher Lee
- Department of Gastroenterology and Hepatology, Hoag Memorial Hospital Presbyterian, 520 Superior Ave. Suite 290, Newport Beach, CA, 92663, USA
| | - David R Braxton
- Department of Pathology, Hoag Memorial Hospital Presbyterian, 1 Hoag Drive, Newport Beach, CA, 92663, USA
| | - David Bingham
- Department of Pathology, Stanford University School of Medicine, 300 Pasteur Drive, H2210, Stanford, CA, 94305, USA
| | - Gregory Scott
- Department of Pathology, Stanford University School of Medicine, 300 Pasteur Drive, H2210, Stanford, CA, 94305, USA
| | - Nielsen Fernandez-Becker
- Department of Medicine, Division of Gastroenterology and Hepatology, Stanford University School of Medicine, 430 Broadway, Pavilion C, 3rd Floor, Redwood City, CA, 94063, USA
| | - Daniel Goff
- Department of Radiology, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, CA, 94305, USA
| | - Andrew Shelton
- Department of Surgery, Stanford University School of Medicine, 300 Pasteur Drive, H3690, Stanford, CA, 94305, USA
| | - Cindy Kin
- Department of Surgery, Stanford University School of Medicine, 300 Pasteur Drive, H3690, Stanford, CA, 94305, USA.
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