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Am Surg
; 89(4): 1141-1143, 2023 Apr.
Article
in English
| MEDLINE
| ID: mdl-33342253
ABSTRACT
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.
Subject(s)
Colitis, Ischemic , Inflammatory Bowel Diseases , Male , Middle Aged , Humans , Hyperplasia/pathology , Mesenteric Veins/surgery , Colitis, Ischemic/etiology , Colitis, Ischemic/pathology , Colitis, Ischemic/surgery , Inflammatory Bowel Diseases/diagnosis , Inflammatory Bowel Diseases/complications , Inflammatory Bowel Diseases/pathology
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