Idiopathic Myointimal Hyperplasia of the Mesenteric Veins: A Rare Imitator of Inflammatory Bowel Disease
Idiopathic myointimal hyperplasia of the mesenteric veins (IMHMV) is a rare cause of chronic colonic ischemia characterized by intimal smooth muscle proliferation and luminal narrowing of the small to medium sized mesenteric veins. It predominantly affects the rectosigmoid colon in otherwise healthy...
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| Veröffentlicht in: | The American surgeon 2023-04, Vol.89 (4), p.1141-1143 |
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| container_title | The American surgeon |
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| creator | Kelly Wu, W. Tombazzi, Claudio R. Howe, Catherine F. Kendall, Melissa A. Walton, Douglas B. Washington, Mary K. Ford, Molly M. Hopkins, Michael B. Geiger, Timothy M. Hawkins, Alexander T. Muldoon, Roberta L. |
| description | Idiopathic myointimal hyperplasia of the mesenteric veins (IMHMV) is a rare cause of chronic colonic ischemia characterized by intimal smooth muscle proliferation and luminal narrowing of the small to medium sized mesenteric veins. It predominantly affects the rectosigmoid colon in otherwise healthy, middle-aged males. Definitive diagnosis and treatment are surgical; however, patients are frequently misdiagnosed, which often results in a protracted clinical course. We describe a case of IMHMV presenting as left hemicolitis in a 53-year-old male, as well as the endoscopic, histopathologic, and radiographic findings that established the diagnosis. |
| doi_str_mv | 10.1177/0003134820973390 |
| format | Article |
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It predominantly affects the rectosigmoid colon in otherwise healthy, middle-aged males. Definitive diagnosis and treatment are surgical; however, patients are frequently misdiagnosed, which often results in a protracted clinical course. We describe a case of IMHMV presenting as left hemicolitis in a 53-year-old male, as well as the endoscopic, histopathologic, and radiographic findings that established the diagnosis.</description><identifier>ISSN: 0003-1348</identifier><identifier>EISSN: 1555-9823</identifier><identifier>DOI: 10.1177/0003134820973390</identifier><identifier>PMID: 33342253</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Abdomen ; Biopsy ; Colitis, Ischemic - etiology ; Colitis, Ischemic - pathology ; Colitis, Ischemic - surgery ; Colon ; Colonoscopy ; Diagnosis ; Edema ; Etiology ; Humans ; Hyperplasia ; Hyperplasia - pathology ; Inflammatory bowel disease ; Inflammatory bowel diseases ; Inflammatory Bowel Diseases - complications ; Inflammatory Bowel Diseases - diagnosis ; Inflammatory Bowel Diseases - pathology ; Ischemia ; Male ; Mesenteric Veins - surgery ; Middle Aged ; Patients ; Rectum ; Smooth muscle ; Tomography ; Veins ; Veins & arteries</subject><ispartof>The American surgeon, 2023-04, Vol.89 (4), p.1141-1143</ispartof><rights>The Author(s) 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-53ab0f46ac40ae8a1b2203c9e2b5e64334471830c437a52e3f085496c657a0613</citedby><cites>FETCH-LOGICAL-c365t-53ab0f46ac40ae8a1b2203c9e2b5e64334471830c437a52e3f085496c657a0613</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0003134820973390$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0003134820973390$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33342253$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kelly Wu, W.</creatorcontrib><creatorcontrib>Tombazzi, Claudio R.</creatorcontrib><creatorcontrib>Howe, Catherine F.</creatorcontrib><creatorcontrib>Kendall, Melissa A.</creatorcontrib><creatorcontrib>Walton, Douglas B.</creatorcontrib><creatorcontrib>Washington, Mary K.</creatorcontrib><creatorcontrib>Ford, Molly M.</creatorcontrib><creatorcontrib>Hopkins, Michael B.</creatorcontrib><creatorcontrib>Geiger, Timothy M.</creatorcontrib><creatorcontrib>Hawkins, Alexander T.</creatorcontrib><creatorcontrib>Muldoon, Roberta L.</creatorcontrib><title>Idiopathic Myointimal Hyperplasia of the Mesenteric Veins: A Rare Imitator of Inflammatory Bowel Disease</title><title>The American surgeon</title><addtitle>Am Surg</addtitle><description>Idiopathic myointimal hyperplasia of the mesenteric veins (IMHMV) is a rare cause of chronic colonic ischemia characterized by intimal smooth muscle proliferation and luminal narrowing of the small to medium sized mesenteric veins. It predominantly affects the rectosigmoid colon in otherwise healthy, middle-aged males. Definitive diagnosis and treatment are surgical; however, patients are frequently misdiagnosed, which often results in a protracted clinical course. We describe a case of IMHMV presenting as left hemicolitis in a 53-year-old male, as well as the endoscopic, histopathologic, and radiographic findings that established the diagnosis.</description><subject>Abdomen</subject><subject>Biopsy</subject><subject>Colitis, Ischemic - etiology</subject><subject>Colitis, Ischemic - pathology</subject><subject>Colitis, Ischemic - surgery</subject><subject>Colon</subject><subject>Colonoscopy</subject><subject>Diagnosis</subject><subject>Edema</subject><subject>Etiology</subject><subject>Humans</subject><subject>Hyperplasia</subject><subject>Hyperplasia - pathology</subject><subject>Inflammatory bowel disease</subject><subject>Inflammatory bowel diseases</subject><subject>Inflammatory Bowel Diseases - complications</subject><subject>Inflammatory Bowel Diseases - diagnosis</subject><subject>Inflammatory Bowel Diseases - pathology</subject><subject>Ischemia</subject><subject>Male</subject><subject>Mesenteric Veins - surgery</subject><subject>Middle Aged</subject><subject>Patients</subject><subject>Rectum</subject><subject>Smooth muscle</subject><subject>Tomography</subject><subject>Veins</subject><subject>Veins & arteries</subject><issn>0003-1348</issn><issn>1555-9823</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kUFP3DAQhS0EKgvtvSdkiUsvKbbHdpLeKNCyEiskVLhGs2HCGiVxamdV7b_H0S5FQuI0Gs333ozeMPZViu9S5vmZEAIk6EKJMgcoxR6bSWNMVhYK9tlsGmfT_JAdxficWm2N_MQOAUArZWDGVvNH5wccV67mi413_eg6bPn1ZqAwtBgdct_wcUV8QZH6kUICH8j18Qc_53cYiM87N-LowwTO-6bFrpvaDf_p_1HLL10kjPSZHTTYRvqyq8fs_tfVn4vr7Ob29_zi_CarwZoxM4BL0WiLtRZIBcqlUgLqktTSkNXpbp3LAkStIUejCBpRGF3a2pochZVwzL5tfYfg_64pjlXnYk1tiz35daxU0psUVa4TevoOffbr0KfrKhDWFpAraRMltlQdfIyBmmoIKaOwqaSopi9U77-QJCc74_Wyo8f_gtfYE5BtgYhP9Lb1Q8MXHgmMvA</recordid><startdate>202304</startdate><enddate>202304</enddate><creator>Kelly Wu, W.</creator><creator>Tombazzi, Claudio R.</creator><creator>Howe, Catherine F.</creator><creator>Kendall, Melissa A.</creator><creator>Walton, Douglas B.</creator><creator>Washington, Mary K.</creator><creator>Ford, Molly M.</creator><creator>Hopkins, Michael B.</creator><creator>Geiger, Timothy M.</creator><creator>Hawkins, Alexander T.</creator><creator>Muldoon, Roberta L.</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>4T-</scope><scope>4U-</scope><scope>7QL</scope><scope>7T7</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>202304</creationdate><title>Idiopathic Myointimal Hyperplasia of the Mesenteric Veins: A Rare Imitator of Inflammatory Bowel Disease</title><author>Kelly Wu, W. ; 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| subjects | Abdomen Biopsy Colitis, Ischemic - etiology Colitis, Ischemic - pathology Colitis, Ischemic - surgery Colon Colonoscopy Diagnosis Edema Etiology Humans Hyperplasia Hyperplasia - pathology Inflammatory bowel disease Inflammatory bowel diseases Inflammatory Bowel Diseases - complications Inflammatory Bowel Diseases - diagnosis Inflammatory Bowel Diseases - pathology Ischemia Male Mesenteric Veins - surgery Middle Aged Patients Rectum Smooth muscle Tomography Veins Veins & arteries |
| title | Idiopathic Myointimal Hyperplasia of the Mesenteric Veins: A Rare Imitator of Inflammatory Bowel Disease |
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