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Published on: July 21, 2023
Idiopathic Mesenteric Phlebosclerosis: A Single-Institute Experience in Taiwan
Jen-Wei Chou1, Chia-Hsi Chang2, Yi-Hua Wu3
1China Medical University Faculty of Medicine, Taichung, Taiwan; Department of Internal Medicine, Center for Digestive Medicine, China Medical University Hospital, Taichung, Taiwan; Taiwan Association for the Study of Small Intestinal Diseases (TASSID), Touyuan, Taiwan.
Idiopathic mesenteric phlebosclerosis is a rare condition. Most patients recover with conservative treatment, but severe cases may require surgery. Diagnosis is aided by imaging like CT scans.
Area of Science:
- Gastroenterology
- Radiology
- Vascular Medicine
Background:
- Idiopathic mesenteric phlebosclerosis is a rare condition with an unknown cause.
- This study focuses on patients in Taiwan.
Purpose of the Study:
- To investigate the clinical features, diagnostic methods, treatments, and outcomes of idiopathic mesenteric phlebosclerosis.
- To provide insights into this rare vascular condition.
Main Methods:
- Retrospective analysis of 36 patients diagnosed between 1992 and 2021.
- Diagnosis confirmed by tree-like mesenteric venous calcifications on radiography or CT scans.
Main Results:
- Most patients (72.2%) were symptomatic, with abdominal pain being the most common symptom.
- Common comorbidities included cardiovascular disease (36.1%) and chronic renal disease (44.4%).
- Diagnosis was primarily achieved through abdominal CT and radiography (94.4%).
- Over 91.6% of patients had good recovery with conservative treatment; 8.3% required colectomy.
Conclusions:
- Idiopathic mesenteric phlebosclerosis is rare in Taiwan.
- Plain abdominal radiography and CT scans are effective diagnostic tools.
- Conservative management is typically sufficient, with surgery reserved for severe cases.
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