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Related Experiment Video

Updated: May 5, 2026

Multimodality Diagnosis of Mesenteric Ischemia
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Idiopathic mesenteric phlebosclerosis: A case report.

Jingjing Rao1, Yuzheng Xue1,2, Tielong Wu2

  • 1Wuxi School of Medicine, Jiangnan University, Wuxi, China.

Medicine
|May 4, 2026
PubMed
Summary
This summary is machine-generated.

Idiopathic mesenteric phlebosclerosis (IMP) is a rare condition. This case study highlights a patient without traditional Chinese herbal medicine use, suggesting alternative etiologies for IMP and emphasizing the importance of imaging in diagnosis.

Keywords:
diagnosis and imaging examinationidiopathic mesenteric phlebosclerosis

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Area of Science:

  • Gastroenterology
  • Vascular Medicine
  • Rare Diseases

Background:

  • Idiopathic mesenteric phlebosclerosis (IMP) is a rare vascular disease with unknown causes.
  • While often linked to traditional Chinese herbal medicine, this case presents without that history, offering new etiological insights.

Purpose of the Study:

  • To report a unique case of IMP in a patient without a history of traditional Chinese herbal medicine use.
  • To underscore the diagnostic value of imaging in identifying IMP.
  • To contribute to understanding the varied etiology of IMP.

Main Methods:

  • A 59-year-old male presented with recurrent abdominal pain and positive fecal occult blood test.
  • Diagnostic workup included laboratory tests, computed tomography (CT), and colonoscopy.
  • The patient underwent conservative management.

Main Results:

  • CT revealed intestinal wall edema, thickening, lumen narrowing, and mesenteric vessel calcifications.
  • Colonoscopy showed a circumferential ulcer with mucosal cyanosis and nodular changes.
  • Conservative treatment led to symptom improvement and positive imaging changes.

Conclusions:

  • IMP diagnosis relies on characteristic imaging findings.
  • Traditional Chinese herbal medicine is not the sole cause of IMP.
  • Further research into IMP etiology and pathogenesis is warranted.