Ischemic Colitis Due to Idiopathic Myointimal Hyperplasia of the Mesenteric Veins.
ACG Case Rep J
; 10(8): e01125, 2023 Aug.
Article
em En
| MEDLINE
| ID: mdl-37575488
ABSTRACT
Idiopathic myointimal hyperplasia of the mesenteric veins (IMHMV) is a rare and poorly understood noninflammatory ischemic colitis. First reported by Genta and Haggitt in 1991, the disease typically presents with chronic abdominal pain, weight loss, and diarrhea with or without hematochezia in middle-aged men. IMHMV is frequently misdiagnosed as an inflammatory bowel disease. The pathophysiology of IMHMV involves the proliferation of the intimal smooth muscle in mesenteric veins leading to bowel ischemia. The etiology of this process remains unknown. There are no good medical therapies for IMHMV, and surgical resection, a curative intervention, is typically required to make the diagnosis. We present the case of a 66-year-old man with IMHMV diagnosed with endoscopic biopsies.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Revista:
ACG Case Rep J
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Nova Caledônia