Idiopathic myointimal hyperplasia of the mesenteric veins: Case report and review of the literature
In 1991, Genta and Haggitt described four patients with segmental ischemic colitis caused by idiopathic myointimal hyperplasia in the small mesenteric veins (IMHMV). There are now 33 published cases of IMHMV in the literature; however, this condition is still sufficiently rare that it poses a diagno...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-06-01
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| Series: | JGH Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/jgh3.12297 |
| _version_ | 1819135390784684032 |
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| author | Felicity C Martin Linda S Yang Sasha R Fehily Basil D'Souza Allan Lim Penelope A McKelvie |
| author_facet | Felicity C Martin Linda S Yang Sasha R Fehily Basil D'Souza Allan Lim Penelope A McKelvie |
| author_sort | Felicity C Martin |
| collection | DOAJ |
| description | In 1991, Genta and Haggitt described four patients with segmental ischemic colitis caused by idiopathic myointimal hyperplasia in the small mesenteric veins (IMHMV). There are now 33 published cases of IMHMV in the literature; however, this condition is still sufficiently rare that it poses a diagnostic challenge to pathologists and clinicians and is often clinically or histologically confused with inflammatory bowel disease (IBD) or ischemic colitis. IMHMV is characterized by intimal smooth muscle hyperplasia resulting in thickened small and medium‐sized mesenteric veins (with arterial sparing). Clinically, it presents with symptoms that mimic IBD, such as bloody diarrhea, abdominal pain, and weight loss. Surgical resection appears to be curative. The present case describes a 63‐year‐old Vietnamese man with cardiovascular risk factors who was diagnosed with IMHMV after many months of severe symptoms. A review of the current literature follows the case report. |
| first_indexed | 2024-12-22T10:18:20Z |
| format | Article |
| id | doaj.art-88b873be6607499a9a1ede950870e760 |
| institution | Directory Open Access Journal |
| issn | 2397-9070 |
| language | English |
| last_indexed | 2024-12-22T10:18:20Z |
| publishDate | 2020-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | JGH Open |
| spelling | doaj.art-88b873be6607499a9a1ede950870e7602022-12-21T18:29:42ZengWileyJGH Open2397-90702020-06-014334535010.1002/jgh3.12297Idiopathic myointimal hyperplasia of the mesenteric veins: Case report and review of the literatureFelicity C Martin0Linda S Yang1Sasha R Fehily2Basil D'Souza3Allan Lim4Penelope A McKelvie5Department of Gastroenterology St Vincent's Hospital Fitzroy Victoria AustraliaDepartment of Gastroenterology St Vincent's Hospital Fitzroy Victoria AustraliaDepartment of Gastroenterology St Vincent's Hospital Fitzroy Victoria AustraliaDepartment of Colorectal Surgery St Vincent's Hospital Fitzroy Victoria AustraliaDepartment of Pathology St Vincent's Hospital Fitzroy Victoria AustraliaDepartment of Pathology St Vincent's Hospital Fitzroy Victoria AustraliaIn 1991, Genta and Haggitt described four patients with segmental ischemic colitis caused by idiopathic myointimal hyperplasia in the small mesenteric veins (IMHMV). There are now 33 published cases of IMHMV in the literature; however, this condition is still sufficiently rare that it poses a diagnostic challenge to pathologists and clinicians and is often clinically or histologically confused with inflammatory bowel disease (IBD) or ischemic colitis. IMHMV is characterized by intimal smooth muscle hyperplasia resulting in thickened small and medium‐sized mesenteric veins (with arterial sparing). Clinically, it presents with symptoms that mimic IBD, such as bloody diarrhea, abdominal pain, and weight loss. Surgical resection appears to be curative. The present case describes a 63‐year‐old Vietnamese man with cardiovascular risk factors who was diagnosed with IMHMV after many months of severe symptoms. A review of the current literature follows the case report.https://doi.org/10.1002/jgh3.12297case reportcolitisidiopathic myointimal hyperplasia of mesenteric veinsischemiareview |
| spellingShingle | Felicity C Martin Linda S Yang Sasha R Fehily Basil D'Souza Allan Lim Penelope A McKelvie Idiopathic myointimal hyperplasia of the mesenteric veins: Case report and review of the literature JGH Open case report colitis idiopathic myointimal hyperplasia of mesenteric veins ischemia review |
| title | Idiopathic myointimal hyperplasia of the mesenteric veins: Case report and review of the literature |
| title_full | Idiopathic myointimal hyperplasia of the mesenteric veins: Case report and review of the literature |
| title_fullStr | Idiopathic myointimal hyperplasia of the mesenteric veins: Case report and review of the literature |
| title_full_unstemmed | Idiopathic myointimal hyperplasia of the mesenteric veins: Case report and review of the literature |
| title_short | Idiopathic myointimal hyperplasia of the mesenteric veins: Case report and review of the literature |
| title_sort | idiopathic myointimal hyperplasia of the mesenteric veins case report and review of the literature |
| topic | case report colitis idiopathic myointimal hyperplasia of mesenteric veins ischemia review |
| url | https://doi.org/10.1002/jgh3.12297 |
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