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Background: Reversal of Hartmann's procedure is a complex surgery with potential complications. This case report describes a rare and severe complication following an attempted reversal.

Case Presentation: A 53-year-old male who had undergone a Hartmann's procedure for non-metastatic sigmoid colon cancer presented with bowel obstruction 10 days after attempted reversal surgery at another hospital.

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Enterocolic lymphocytic phlebitis (ELP) is an idiopathic form of venous inflammation that is limited to the gastrointestinal tract. It is characterised by inflammation of the veins with no involvement of the arteries. Usually, it presents with gastrointestinal symptoms such as abdominal pain, and imaging may suggest malignancy.

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Article Synopsis
  • The study explores rare vascular diseases (Behçet disease, enterocolic lymphocytic phlebitis, idiopathic myointimal hyperplasia of mesenteric veins, and mesenteric arteriovenous dysplasia) that can cause bowel ischaemia and are often misdiagnosed as Crohn's disease due to similar symptoms and histological patterns.
  • Researchers compared clinical and pathological data of 13 patients misdiagnosed with Crohn's disease and later found to have these vascular diseases against a control group of 15 patients who were correctly diagnosed with Crohn's.
  • Key distinguishing features were identified: Crohn's disease showed signs like transmural inflammation and abscesses, while
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Enterocolic lymphocytic phlebitis is a rare lymphocytic vasculitis afflicting the gastrointestinal veins without involving the arterial system. Lymphocytic colitis is a more common pathology described as lymphocytic inflammation of the colonic epithelium. Concurrence of both these pathologies is extremely rare.

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