Resection of mesenteric inflammatory veno-occlusive disease causing ischemic colitis

Area of Science:

• Gastroenterology and Hepatology
• Surgical Pathology
• Vascular Surgery

Background:

• Mesenteric inflammatory veno-occlusive disease (MIVOD) is a rare condition.
• It presents as a cause of mesenteric ischemia.
• Diagnosis relies on histologic examination of surgical specimens.

Observation:

• A case of MIVOD in a young patient presenting with ischemic colitis is described.
• The patient exhibited symptoms consistent with acute mesenteric ischemia.
• Histologic examination confirmed MIVOD.

Findings:

• The patient experienced complete resolution of MIVOD symptoms postoperatively.
• Surgical management included resection, colostomy, and subsequent reanastomosis.
• This approach led to the resolution of the inflammatory process.

Implications:

• MIVOD may have a relatively benign clinical course following surgical intervention.
• Resection, colostomy, and reanastomosis can effectively manage MIVOD.
• Further literature review provides insights into clinical management strategies.