Enterocolic lymphocytic phlebitis (ELP) is a rare disease of unknown etiology involving
most often the intramural and mesenteric small and medium-sized veins of the gastrointestinal
tract. The diagnosis of the disorder is based on the histopathological examination
of a surgical specimen as endoscopically obtained diagnostic material is
usually too superficial. Clinical manifestation of ELP most frequently is characterized
by acute symptoms, such as acute abdomen, signs suggesting acute appendicitis,
gastrointestinal hemorrhage, sometimes it manifests as chronic gastrointestinal complaints.
We report, to our knowledge for the first time in Poland, a case of ELP with
clinical symptoms pointing to acute appendicitis, on laparoscopy manifesting as a tumorous
mass in the colonic wall with an unchanged appendix.
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