Mesenteric inflammatory veno-occlusive disease of the colon: An under-recognized entity - A Case Report
Isolated nonthrombotic venulitis of the colon with concomitant ischemic injury, also known as mesenteric inflammatory veno-occlusive disease (MIVOD), is a rare inflammatory vascular disorder of unknown etiology. First described in 1994, there are only about 34 cases in the literature. We report a 25...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Apollo Medicine |
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| Online Access: | http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2022;volume=19;issue=4;spage=270;epage=272;aulast=Shah |
| _version_ | 1811200632273502208 |
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| author | Saloni Naresh Shah Priyansh Bhayani Sarojini Ashok Parameswaran Ashok Parameswaran |
| author_facet | Saloni Naresh Shah Priyansh Bhayani Sarojini Ashok Parameswaran Ashok Parameswaran |
| author_sort | Saloni Naresh Shah |
| collection | DOAJ |
| description | Isolated nonthrombotic venulitis of the colon with concomitant ischemic injury, also known as mesenteric inflammatory veno-occlusive disease (MIVOD), is a rare inflammatory vascular disorder of unknown etiology. First described in 1994, there are only about 34 cases in the literature. We report a 25-year-old woman who presented with loose stools and abdominal pain of 3-week duration. Investigations revealed eosinophilia. Endoscopy showed erosion and ulcers of the gastrointestinal tract, with mucosal biopsies showing features of ischemic injury. Computed tomography showed an edematous and thickened colonic wall with impending perforation, hence, a subtotal colectomy was performed. The patient, however, had a cardiac arrest and expired despite adequate measures. The resection specimen was consistent with a diagnosis of MIVOD. As the clinical and radiological features of MIVOD are nonspecific and overlap with inflammatory bowel disease or mesenteric ischemic disorders, histopathological examination of the resection specimen is the mainstay for its diagnosis. We believe this is the only other case in the literature of MIVOD with eosinophil predominance. |
| first_indexed | 2024-04-12T02:06:51Z |
| format | Article |
| id | doaj.art-5503f219b9b5480c86be84f8b6c1d723 |
| institution | Directory Open Access Journal |
| issn | 0976-0016 2213-3682 |
| language | English |
| last_indexed | 2024-04-12T02:06:51Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Apollo Medicine |
| spelling | doaj.art-5503f219b9b5480c86be84f8b6c1d7232022-12-22T03:52:30ZengWolters Kluwer Medknow PublicationsApollo Medicine0976-00162213-36822022-01-0119427027210.4103/am.am_85_22Mesenteric inflammatory veno-occlusive disease of the colon: An under-recognized entity - A Case ReportSaloni Naresh ShahPriyansh BhayaniSarojini Ashok ParameswaranAshok ParameswaranIsolated nonthrombotic venulitis of the colon with concomitant ischemic injury, also known as mesenteric inflammatory veno-occlusive disease (MIVOD), is a rare inflammatory vascular disorder of unknown etiology. First described in 1994, there are only about 34 cases in the literature. We report a 25-year-old woman who presented with loose stools and abdominal pain of 3-week duration. Investigations revealed eosinophilia. Endoscopy showed erosion and ulcers of the gastrointestinal tract, with mucosal biopsies showing features of ischemic injury. Computed tomography showed an edematous and thickened colonic wall with impending perforation, hence, a subtotal colectomy was performed. The patient, however, had a cardiac arrest and expired despite adequate measures. The resection specimen was consistent with a diagnosis of MIVOD. As the clinical and radiological features of MIVOD are nonspecific and overlap with inflammatory bowel disease or mesenteric ischemic disorders, histopathological examination of the resection specimen is the mainstay for its diagnosis. We believe this is the only other case in the literature of MIVOD with eosinophil predominance.http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2022;volume=19;issue=4;spage=270;epage=272;aulast=Shaheosinophil predominanceisolated phlebitismesenteric inflammatory veno-occlusive disease |
| spellingShingle | Saloni Naresh Shah Priyansh Bhayani Sarojini Ashok Parameswaran Ashok Parameswaran Mesenteric inflammatory veno-occlusive disease of the colon: An under-recognized entity - A Case Report Apollo Medicine eosinophil predominance isolated phlebitis mesenteric inflammatory veno-occlusive disease |
| title | Mesenteric inflammatory veno-occlusive disease of the colon: An under-recognized entity - A Case Report |
| title_full | Mesenteric inflammatory veno-occlusive disease of the colon: An under-recognized entity - A Case Report |
| title_fullStr | Mesenteric inflammatory veno-occlusive disease of the colon: An under-recognized entity - A Case Report |
| title_full_unstemmed | Mesenteric inflammatory veno-occlusive disease of the colon: An under-recognized entity - A Case Report |
| title_short | Mesenteric inflammatory veno-occlusive disease of the colon: An under-recognized entity - A Case Report |
| title_sort | mesenteric inflammatory veno occlusive disease of the colon an under recognized entity a case report |
| topic | eosinophil predominance isolated phlebitis mesenteric inflammatory veno-occlusive disease |
| url | http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2022;volume=19;issue=4;spage=270;epage=272;aulast=Shah |
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