Related Experiment Video
Updated: Sep 14, 2025
05:07
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
726
Intestinal Ultrasound's New Target: Idiopathic Mesenteric Vein Sclerosing Enteritis
Qianjiang Luo1, Xiaoshan Huang1, Zhong Zheng1
1Department of Gastroenterology and Hepatology The Eighth Affiliated Hospital, Sun Yat-sen University Shenzhen China.
Summary
Idiopathic mesenteric phlebosclerotic colitis (IMPC), linked to herbal medicine, presents diagnostic challenges. Gastrointestinal ultrasound (GIUS) shows promise as a non-invasive tool for IMPC diagnosis and management.
Area of Science:
- Gastroenterology
- Colorectal Diseases
- Medical Diagnostics
Background:
- Idiopathic mesenteric phlebosclerotic colitis (IMPC) is a rare condition within non-thrombotic ischemic colitis.
- IMPC is increasingly associated with prolonged herbal medicine use.
- Opportunistic gastrointestinal infections may indicate compromised immunity in IMPC patients.
Purpose of the Study:
- To present a case of IMPC diagnosed with the aid of gastrointestinal ultrasound (GIUS).
- To highlight the diagnostic utility of GIUS in IMPC.
- To discuss the association between IMPC, opportunistic infections, and immune function.
Main Methods:
- Case report of a 48-year-old female with chronic abdominal pain diagnosed with IMPC.
- Utilized gastrointestinal ultrasound (GIUS) as a non-invasive diagnostic tool.
- Documented concurrent Entamoeba coli infection and opportunistic infections.
Main Results:
- Gastrointestinal ultrasound (GIUS) assisted in the diagnosis of IMPC.
- The patient experienced limited success with non-targeted pharmacotherapy.
- Observed opportunistic infections suggesting potential immune compromise.
Conclusions:
- Gastrointestinal ultrasound (GIUS) can aid in IMPC diagnosis.
- Limited treatment options exist for severe IMPC, necessitating further research.
- Opportunistic infections in IMPC patients may signal underlying immune dysfunction.
Related Concept Videos
01:28Esophageal Varices-II: Clinical Features and Management
144
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
144
01:20Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
37
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
37
01:25Ultrasound II: Endoscopic Ultrasound and FibroScan
202
Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
Endoscopic Ultrasound (EUS):
Endoscopic Ultrasound (EUS):
202
01:26Varicose Veins II: Diagnostic Studies and Interprofessional Care
31
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
31
01:24Esophageal Varices-I: Introduction
342
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
342
01:26Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
144
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
144