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An unusual colonic mass in a phlebosclerosis patient
Affiliation: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;1. Postgraduate School of Diagnostic and Interventional Radiology, University of Milan - Università degli Studi di Milano, Via Rodolfo Morandi 30, 20097 San Donato Milanese (MI), Italy;2. Unità Operativa di Endoscopia, Azienda Ospedaliera Santi Paolo e Carlo, Presidio San Paolo, Via di Rudinì 8, 20142 Milan, Italy;3. Unità Operativa di Chirurgia II, Azienda Ospedaliera Santi Paolo e Carlo, Presidio San Paolo, Via di Rudinì 8, 20142 Milan, Italy;4. Unità Operativa di Radiologia, ASST Fatebenefratelli Sacco, Via GB Grassi 74, 20157 Milan, Italy;1. MRI Department, the First Affiliated Hospital of Henan University of Chinese Medicine, No 19 Renmin Road, Zhengzhou, Henan, China;2. Department of Radiology, Gold Coast University Hospital, Queensland, Australia;1. Département de Chirurgie Digestive et Transplantation, Centre hospitalo-universitaire de Montpellier, Université de Montpellier-Nimes, 641 avenue du Doyen Gaston Giraud, 34090, Montpellier, France;2. Tumor Microenvironment and Resistance to Treatment Lab, Institut de Recherche en Cancérologie de Montpellier, INSERM U1194, 208 rue des Apothicaires, Montpellier, 34298 Cedex 5, France;3. Université de Montpellier, 641 avenue du Doyen Gaston Giraud, 34090, Montpellier, France
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  Phlebosclerosis
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