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Updated: Aug 29, 2025
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Intestinal obstruction due to idiopathic mesenteric phlebosclerosis colitis: A case report
Jiaqi Shan1, Fangci Chen1, Panpan Yu1,2
1The Fourth School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou, China.
Introduction:
Idiopathic mesenteric phlebosclerosis colitis (IMP) is a rare condition that impairs colonic venous blood return owing to mesenteric venous sclerosis and fibrosis. At present, many studies have suggested that long-term intake of Chinese herbal medicines is associated with its pathogenesis. IMP has no characteristic clinical manifestations, and most patients with IMP present with acute intestinal obstruction. As a rare disease, the etiology, pathogenesis, pathophysiology, and treatment of IMP are being explored and studied.
Case Description:
A 60-year-old Chinese male patient with IMP was admitted to our hospital for acute intestinal obstruction, received subtotal colectomy and ileostomy after 10 days of ineffective conservative treatment, and was discharged after postoperative supportive treatment for 1 month.
Conclusion:
There are many causes of intestinal obstruction, and we report a relatively rare one. After failure of conservative treatment, it is necessary to surgically resect part of the diseased bowel.
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