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Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
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Idiopathic mesenteric phlebosclerosis: clinical and CT imaging characteristics
Jian Ding1, Weiqiang Zhang1, Lizhang Wang1
1Department of Radiology, the First Hospital of Jiaxing, The Affiliated Hospital of Jiaxing University, Jiaxing, China.
Quantitative Imaging in Medicine and Surgery
|February 3, 2021
Summary
Idiopathic mesenteric phlebosclerosis (IMP) involves mesenteric venous calcification and colonic wall thickening, but calcification extent doesn't correlate with wall thickness. CT and colonoscopy improve IMP diagnosis.
Area of Science:
- Gastroenterology
- Radiology
- Vascular Medicine
Background:
- Idiopathic mesenteric phlebosclerosis (IMP) is a rare condition affecting mesenteric veins.
- Understanding its clinical and imaging features is crucial for diagnosis.
Purpose of the Study:
- To evaluate the clinical characteristics of idiopathic mesenteric phlebosclerosis (IMP).
- To assess computed tomography (CT) imaging findings in patients with IMP.
Main Methods:
- Retrospective analysis of clinical data from 10 IMP patients (2013-2019).
- All patients underwent computed tomography angiography (CTA) and colonoscopy.
- CT findings (calcification, wall thickness, fat gap) and colonic wall thickness were evaluated and correlated.
Main Results:
- All 10 patients were male, with a mean age of 59.6 years; 7 had a history of excessive alcohol or herbal medicine intake.
- Clinical symptoms included abdominal pain, diarrhea, bloating, and nausea.
- Colonoscopy revealed edematous mucosa and engorged vessels; CT showed colonic wall thickening, mesenteric venous calcification, and blurry fat gaps.
Conclusions:
- Key IMP features include mesenteric venous calcification, colonic wall thickening, and pericolic fat stranding.
- No significant correlation was found between calcification score and colonic wall thickness.
- Combined CT imaging and colonoscopy enhance diagnostic accuracy for IMP.
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