Ischemic colitis caused by polycythemia vera: A case report and literature review

被引：1

作者：

Zhang, Shasha ^{[1
]}

Lai, Ruixue ^{[1
]}

Gao, Xueqing ^{[1
]}

Zhao, Yufei ^{[1
]}

Zhao, Yue ^{[2
]}

Wu, Jianhua ^{[3
]}

Guo, Zhanjun ^{[1
]}

机构：

[1] Hebei Med Univ, Hosp 4, Dept Rheumatol & Immunol, 12 Jiankang Rd, Shijiazhuang 050011, Hebei, Peoples R China

[2] Hebei Med Univ, Hosp 4, Dept Gastroenterol & Hepatol, Shijiazhuang 050011, Hebei, Peoples R China

[3] Hebei Med Univ, Hosp 4, Anim Ctr, Shijiazhuang 050011, Hebei, Peoples R China

来源：

EXPERIMENTAL AND THERAPEUTIC MEDICINE | 2018年 / 16卷 / 04期

关键词：

polycythemia vera; ischemic colitis; abdominal pain; hematochezia; thrombus; ESSENTIAL THROMBOCYTHEMIA; INTESTINAL ISCHEMIA; CROHNS-DISEASE; RISK-FACTOR; LEUKOCYTOSIS; THROMBOSIS; DIAGNOSIS;

D O I：

10.3892/etm.2018.6638

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

Polycythemia vera (PV) is a chronic myeloproliferative disorder originating from hematopoietic stem cells and complicated by thrombosis and bleeding. This report describes a case of ischemic colitis (IC) caused by PV and includes a review of the relevant literature. The patient was a 59-year-old male with a history of PV who presented with abdominal pain and hematochezia. Colonoscopy and histopathological examination results indicated suspected ischemic bowel disease. Following experimental anticoagulant therapy for 7 days, the patient no longer experienced abdominal pain and hematochezia had resolved. Colonoscopy review showed no obvious anomalies 1 month later. These data demonstrated that PV is an uncommon cause of IC.

引用

页码：3663 / 3667

页数：5

共 18 条

[11] Ischemic Colitis [J].

FitzGerald, James F. ;

Hernandez, Luis O., III .

CLINICS IN COLON AND RECTAL SURGERY, 2015, 28 (02) :93-98

[12] Update on the Diagnosis and Management of Colon Ischemia [J].

Ann D. Flynn ;

John F. Valentine .

Current Treatment Options in Gastroenterology, 2016, 14 (1) :128-139

[13] Biphasic CT with mesenteric CT angiography in the evaluation of acute mesenteric ischemia: Initial experience [J].

Kirkpatrick, IDC ;

Kroeker, MA ;

Greenberg, HM .

RADIOLOGY, 2003, 229 (01) :91-98

[14] Diagnosis and classification of Crohn's disease [J].

Laass, Martin W. ;

Roggenbuck, Dirk ;

Conrad, Karsten .

AUTOIMMUNITY REVIEWS, 2014, 13 (4-5) :467-471

[15] Leukocytosis as a major thrombotic risk factor in patients with polycythemia vera [J].

Landolfi, Raffaele ;

Di Gennaro, Leonardo ;

Barbui, Tiziano ;

De Stefano, Valerio ;

Finazzi, Guido ;

Marfisi, RosaMaria ;

Tognoni, Gianni ;

Marchioli, Roberto .

BLOOD, 2007, 109 (06) :2446-2452

[16]

Mazal Jonathan, 2014, Radiol Technol, V85, P297

[17] Ischemic Colitis: Surging Waves of Update [J].

Stamatakos, Michael ;

Douzinas, Emmanuel ;

Stefanaki, Charikleia ;

Petropoulou, Constantina ;

Arampatzi, Helen ;

Safioleas, Constantinos ;

Giannopoulos, George ;

Chatziconstantinou, Constantinos ;

Xiromeritis, Constantinos ;

Safioleas, Michael .

TOHOKU JOURNAL OF EXPERIMENTAL MEDICINE, 2009, 218 (02) :83-92

[18] Polycythemia vera and essential thrombocythemia: 2017 update on diagnosis, risk-stratification, and management [J].

Tefferi, Ayalew ;

Barbui, Tiziano .

AMERICAN JOURNAL OF HEMATOLOGY, 2017, 92 (01) :95-108

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