Middle-aged woman with acute-on-
chronic generalized abdominal pain due

to phlebosclerotic colitis

Middle-aged woman with acute-on-
chronic generalized abdominal pain due

to phlebosclerotic colitis

A 48-year-old woman presented to the emergency depart-
ment

Case presentation

A 48-year-old woman presented to the emergency depart-
ment (ED) due to acute-on-chronic generalized abdomi-
nal pain and nausea for 2 weeks. Her temperature was

36.6 °C, blood pressure 111/88 mmHg, sinus tachycar-
dia (152 bpm) and oxygen saturation 99% on room air

without respiratory distress when arriving ED. Physical
examination disclosed tenderness over entire abdomen

without muscle guarding. Laboratory study showed ele-
vated C-reactive protein level (18.75 mg/dL), and D-dimer

(2.22 μg/mL FEU). The KUB revealed continuous gas-
filled and dilated small bowel loops with linear calcifica-
tions along the right colon and mesenteric veins [1] (Fig.

1). Contrast computed tomography (CT) was performed
subsequently which revealed wall thickening with high
density contents in the ascending colon and pericolic
mesenteric venous vessels (Fig. 2). Under the impression
of phlebosclerotic colitis complicated with small bowel

obstructions, the patient received intravenous hydra-
tion, antibiotic treatment, and was admitted to the hos-
pital for conservative treatment. However, the condition

Ta-Jen Wen1

, Je-Ming Hu2

and Sy-Jou Chen1*

https://doi.org/10.1186/s12245-025-01089-7

2026

peri irawan

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