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Updated: Jun 27, 2026
05:07
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
[A case of idiopathic mesenteric phlebosclerosis]
Hyun Gwang Jung1, Jin Woo Koh, Moo Yeol Lee
1Division of Gastroenterology, Department of Internal Medicine, Wallace Memorial Baptist Hospital, Busan, Korea.
The Korean Journal of Gastroenterology = Taehan Sohwagi Hakhoe Chi
|December 17, 2008
Summary
Idiopathic mesenteric phlebosclerosis, a rare cause of chronic mesenteric ischemia, involves non-thrombotic vein narrowing. This case report details the first instance of this condition documented in Korea.
Area of Science:
- Vascular Medicine
- Gastroenterology
- Pathology
Background:
- Idiopathic mesenteric phlebosclerosis is a rare, non-thrombotic, non-inflammatory condition.
- It leads to stenosis or occlusion of mesenteric veins, causing chronic mesenteric ischemia.
- Histologically characterized by fibrous mural thickening, sclerosis, and frequent calcification.
Observation:
- A case of idiopathic mesenteric phlebosclerosis in a 61-year-old woman is presented.
- This represents the first reported case in Korea.
- The patient presented with symptoms consistent with chronic mesenteric ischemia.
Findings:
- The patient's condition was diagnosed based on clinical presentation and confirmed through imaging and histological examination.
- Histopathology revealed the characteristic marked fibrous mural thickening and sclerosis of the mesenteric veins.
- Vessel wall calcification was also noted, consistent with the disease entity.
Implications:
- This report expands the geographic understanding of idiopathic mesenteric phlebosclerosis.
- Highlights the importance of considering this rare diagnosis in patients with chronic mesenteric ischemia.
- Further research may be warranted to understand the etiology and prevalence in different populations.
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