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Related Experiment Videos

Enterocolic lymphocytic phlebitis: a case report

M H Chergui1, J Vandeperre, P Van Eeckhout

  • 1Department of Digestive Surgery, Clinique Europe, Saint-Michel, Bruxelles, Belgium.

Acta Chirurgica Belgica
|February 11, 1998
PubMed
Summary
This summary is machine-generated.

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A rare case of intestinal ischemia and necrosis due to vasculitis affecting only mesenteric veins was observed. The patient recovered fully after surgery, with no recurrence of symptoms.

Area of Science:

  • Gastroenterology
  • Vascular Medicine
  • Pathology

Background:

  • Vasculitis typically affects arteries, but this case highlights venous involvement in the mesentery.
  • The patient had no prior history of inflammatory bowel disease or systemic vasculitis.
  • Treatment with hydroxyethyl rutoside was noted in the patient's history.

Observation:

  • A healthy patient presented with intestinal ischemia and necrosis.
  • The condition stemmed from vasculitis specifically targeting mesenteric veins and their tributaries.
  • Arteries and arterioles were unaffected.

Findings:

  • Histopathology revealed lymphocytic phlebitis and thrombi of varying ages.
  • Focal fibrinoid necrosis was present, confirming vasculitis.

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  • This venous-only vasculitis is exceptionally rare with an unknown etiology.

    • Implications:

    • This case expands the understanding of vasculitis to include rare venous-exclusive forms.
    • Early surgical intervention (segmental bowel resection) led to complete recovery.
    • Further research is needed to determine the etiology of this specific vasculitis.