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Journal of Clinical Gastroenterology Dec 1993Venous compromise as a cause of ischemic colitis and enteritis is infrequent. Enterocolic lymphocytic phlebitis, a rare cause of such compromise, to our knowledge has...
Venous compromise as a cause of ischemic colitis and enteritis is infrequent. Enterocolic lymphocytic phlebitis, a rare cause of such compromise, to our knowledge has been reported in only three patients. We describe a patient with this condition who had hematochezia and a cecal mass that was mistaken endoscopically and radiologically for carcinoma and required resection. The mass, which was ulcerated, was due to intense submucosal edema. The patient had no history of taking hydroxyethylrutoside, a drug used in Europe in treating varicose veins that has been implicated in all three previously reported cases. This entity is characterized by a mixed T- and B-cell vasculitis affecting veins exclusively in the wall and mesentery of the colon and small bowel, without systemic involvement, leading to fibrointimal proliferation, thrombosis, venous occlusion, and subsequent edema and ischemic necrosis. It should be distinguished from other enterocolic phlebitides, including Behçet disease, systemic lupus erythematosus, and myointimal hyperplasia of mesenteric veins, and can be treated by local excision of the affected bowel.
Topics: Aged; Cecal Diseases; Colon; Enterocolitis; Female; Humans; Lymphocytes; Phlebitis; Tomography, X-Ray Computed
PubMed: 8308222
DOI: No ID Found -
Retina (Philadelphia, Pa.) 1997
Review
Topics: Crohn Disease; Humans; Lupus Erythematosus, Systemic; Phlebitis; Retinal Diseases; Retinal Vein; Syndrome
PubMed: 9355182
DOI: 10.1097/00006982-199709000-00002 -
Wiener Medizinische Wochenschrift (1946) 1994The acute stage of venous thrombosis is characterized by an inflammatory process, therefore the term phlebitis is often erroneously equated with venous thrombosis. In... (Review)
Review
The acute stage of venous thrombosis is characterized by an inflammatory process, therefore the term phlebitis is often erroneously equated with venous thrombosis. In most cases, however, the inflammatory reaction or phlebitis is a secondary phenomenon, associated with the process of fibrinolysis and phlebitis as a primary cause is rare. Postthrombotic sequelae such as edema, varicose veins and ulcers usually are late complications and can take a long time to develop. The primary cause of the postthrombotic syndrome is related to an injured venous wall, including damaged valves or stenosis due to incomplete recanalisation. The amount of damage is dependent on the extent of the primary thrombosis and the degree and rapidity of thrombolysis. When postthrombotic changes are suspected, functional evaluation can be performed with ambulatory venous pressure measurement in a foot vein or with the aid of non-invasive methods such as volumetry.
Topics: Humans; Phlebitis; Postphlebitic Syndrome; Thrombophlebitis; Varicose Ulcer; Veins; Venous Pressure
PubMed: 7856182
DOI: No ID Found -
Phlebologie 1974
Topics: Diagnosis, Differential; Humans; Intracranial Embolism and Thrombosis; Male; Phlebitis; Prognosis; Pulmonary Embolism; Recurrence; Thrombophlebitis
PubMed: 4427945
DOI: No ID Found -
Advances in Experimental Medicine and... 1977A case of recurrent, superficial phlebitis in the lower extremities, with raised blood uric acid levels, responsive to colchicine and to urate pool depletion, but...
A case of recurrent, superficial phlebitis in the lower extremities, with raised blood uric acid levels, responsive to colchicine and to urate pool depletion, but unassociated with articular complaint is reported. The possibility that such a phlebitis may represent an isolated, critical manifestation of acute gout is stressed.
Topics: Acute Disease; Colchicine; Gout; Humans; Male; Middle Aged; Phlebitis; Uric Acid
PubMed: 857621
DOI: 10.1007/978-1-4684-3285-5_35 -
Internal Medicine (Tokyo, Japan) Aug 1995We describe a 35-year-old woman with colonic phlebitis of unknown origin accompanied by effusion of serum protein into the peritoneal cavity. Abdominal ultrasonography...
We describe a 35-year-old woman with colonic phlebitis of unknown origin accompanied by effusion of serum protein into the peritoneal cavity. Abdominal ultrasonography and computed tomography showed massive ascites and edematous wall thickness of the colon. Laboratory examination of the peritoneal fluid showed a high concentration of protein, probably due to nonselective efflux of serum protein. The main histopathological finding was extensive edema of the submucosa with vasculitis in the colon. This kind of phlebitis with massive ascites, but without systemic involvement, and with the ascitic fluid almost identical to the serum protein level, has not been reported previously.
Topics: Adult; Ascites; Colitis, Ischemic; Fatal Outcome; Female; Humans; Phlebitis
PubMed: 8563120
DOI: 10.2169/internalmedicine.34.776 -
American Journal of Health-system... Mar 2018One institution's experience with use of peripheral i.v. (PIV) catheters for prolonged infusions of 3% sodium chloride injection at rates up to 100 mL/hr is described. (Observational Study)
Observational Study
PURPOSE
One institution's experience with use of peripheral i.v. (PIV) catheters for prolonged infusions of 3% sodium chloride injection at rates up to 100 mL/hr is described.
METHODS
A prospective, observational, 13-month quality assurance project was conducted at an academic medical center to evaluate frequencies of patient and catheter phlebitis among adult inpatients who received both an infusion of 3% sodium chloride injection for a period of ≥4 hours through a dedicated PIV catheter and infusions of routine-care solutions (RCSs) through separate PIV catheters during the same hospital stay.
RESULTS
Sixty patients received PIV infusions through a total of 291 catheters during the study period. The majority of patients (78%) received infusions of 3% sodium chloride injection for intracranial hypertension, with 30% receiving such infusions in the intensive care unit. Phlebitis occurred in 28 patients (47%) during infusions of 3% sodium chloride and 26 patients (43%) during RCS infusions ( = 0.19). Catheter phlebitis occurred in 73 catheters (25%), with no significant difference in the frequencies of catheter phlebitis with infusion of 3% sodium chloride versus RCSs (30% [32 of 106 catheters]) versus 22% [41 of 185 catheters]), = 0.16).
CONCLUSION
Patient and catheter phlebitis rates were not significantly different with infusions of 3% sodium chloride injection versus RCSs, suggesting that an osmolarity cutoff value of 900 mOsm/L for peripheral infusions of hypertonic saline solutions may not be warranted.
Topics: Adult; Aged; Aged, 80 and over; Drug Compounding; Female; Humans; Infusions, Intravenous; Male; Middle Aged; Phlebitis; Prospective Studies; Saline Solution, Hypertonic; Sodium Chloride
PubMed: 29472509
DOI: 10.2146/ajhp161028 -
Journal. Iowa State Medical Society Dec 1957
Topics: Phlebitis
PubMed: 13481441
DOI: No ID Found -
VASA. Zeitschrift Fur Gefasskrankheiten 1994Classification of phlebitides is difficult and none of the suggestions made so far has been internationally recognized. Already the definition of "primary" and... (Review)
Review
Classification of phlebitides is difficult and none of the suggestions made so far has been internationally recognized. Already the definition of "primary" and "secondary" presents difficulties. For practical purposes the phlebitides are classified in this survey according to their importance as disease entities and their etiology. The role of phlebitis saltans as an idiopathic disease or as an indicator of underlying disorders is emphasized and the differential diagnosis between symptomatic skipping phlebitis and paraneoplastic thrombosis with secondary inflammation is outlined.
Topics: Diagnosis, Differential; Humans; Muscle, Smooth, Vascular; Phlebitis; Thrombophlebitis; Veins
PubMed: 7817608
DOI: No ID Found -
Archives of Internal Medicine Jul 1984During a controlled evaluation of an intravenous therapy (IVT) team, we had the opportunity to follow up 202 episodes of catheter-associated phlebitis. While the IVT... (Comparative Study)
Comparative Study
During a controlled evaluation of an intravenous therapy (IVT) team, we had the opportunity to follow up 202 episodes of catheter-associated phlebitis. While the IVT team had a considerable effect on the incidence of phlebitis, the clinical course of this complication was not influenced. More than 40% of catheter-associated phlebitis occurred more than 24 hours after withdrawal of the catheter. Premonitory symptoms were not useful in predicting the development of phlebitis. Factors that influenced the duration of phlebitis included the patient's diagnosis and the administration of vancomycin hydrochloride. The duration of phlebitis was prolonged by delayed removal of the catheter after the development of phlebitis.
Topics: Catheterization; Humans; Infusions, Parenteral; Patient Care Team; Phlebitis; Prospective Studies; Time Factors
PubMed: 6732398
DOI: No ID Found