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Am Surg
; 89(4): 1141-1143, 2023 Apr.
Artigo
em Inglês
| MEDLINE
| ID: mdl-33342253
RESUMO
Idiopathic myointimal hyperplasia of the mesenteric veins (IMHMV) is a rare cause of chronic colonic ischemia characterized by intimal smooth muscle proliferation and luminal narrowing of the small to medium sized mesenteric veins. It predominantly affects the rectosigmoid colon in otherwise healthy, middle-aged males. Definitive diagnosis and treatment are surgical; however, patients are frequently misdiagnosed, which often results in a protracted clinical course. We describe a case of IMHMV presenting as left hemicolitis in a 53-year-old male, as well as the endoscopic, histopathologic, and radiographic findings that established the diagnosis.
Assuntos
Colite Isquêmica , Doenças Inflamatórias Intestinais , Masculino , Pessoa de Meia-Idade , Humanos , Hiperplasia/patologia , Veias Mesentéricas/cirurgia , Colite Isquêmica/etiologia , Colite Isquêmica/patologia , Colite Isquêmica/cirurgia , Doenças Inflamatórias Intestinais/diagnóstico , Doenças Inflamatórias Intestinais/complicações , Doenças Inflamatórias Intestinais/patologia
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