Idiopathic mesenteric phlebosclerosis is a rare intestinal ischemic disease with non-specific clinical manifestations. Colonoscopy typically shows ischemia in the right colon, and CT scans typically reveal linear calcification in the mesenteric veins and their branches. While the exact cause and mechanism of the disease are not yet clear, there is some evidence suggesting a link to the damage to the vessel wall caused by geniposide. Sharing the diagnostic and treatment experience of this patient can help raise clinical awareness of idiopathic mesenteric phlebosclerosis, leading to fewer misdiagnoses.
JIANG Yuanxi
,
TENG Shifeng
,
ZENG Yu
,
XU Jichong
,
XU Shuchang
. A case of idiopathic mesenteric phlebosclerosis[J]. Surgical Research and New Technique, 2024
, 13(4)
: 365
-368
.
DOI: 10.3969/j.issn.2095-378X.2024.04.023
[1] Koyama N, Koyama H, Hanajima T, et al.Chronic ischemic colitis causing stenosis: report of a case[J]. Stomach Intestine, 1991, 26: 455-460.
[2] Yao T, Iwashita A, Hoashi T, et al.Phlebosclerotic colitis: value of radiography in diagnosis: report of three cases[J]. Radiology, 2000, 214(1): 188-192.
[3] Iwashita A, Yao T, Schlemper RJ, et al.Mesenteric phlebosclerosis: a new disease entity causing ischemic colitis[J]. Dis Colon Rectum, 2003, 46(2): 209-220.
[4] 郭蕊,吴静,缪应雷. 特发性肠系膜静脉硬化性结肠炎1例并文献复习[J]. 胃肠病学,2021,26(4):254-256.
[5] 刘晓,韦雨策,王薇,等. 特发性肠系膜静脉硬化性肠炎临床特点分析[J]. 中华老年医学杂志,2022,41(2):179-184.
[6] Kawashima A, Shimomura A, Inagaki T.Idiopathic mesenteric phlebosclerosis secondary to Chinese herbal medicine intake in an older adult[J]. Am J Trop Med Hyg, 2023, 109(4): 715-716.
[7] 姬丽娟,万书友,李琮,等. 特发性肠系膜静脉硬化性结肠炎多层螺旋CT表现[J]. 中国医学影像技术,2021,37(5):795-797.
[8] 周妙平,刘一明,卢水福,等. 特发性肠系膜静脉硬化性结肠炎14例的临床、影像学和内镜特征分析[J]. 中华消化杂志,2022,42(1):36-41.
[9] Xu J, Jin M, Jiang Z, et al.Clinicopathological features of phlebosclerotic colitis[J]. Pathol Res Pract, 2020, 216(11):153193.
[10] Sakurai Y, Watanabe K, Hayashi T, et al.Widespread mesenteric phlebosclerosis presenting as intestinal obstruction due to stenosis of the right-sided colon[J]. Clin J Gastroenterol, 2022, 15(4): 717-721.
[11] Zhang C, Huang H, Guo B.Idiopathic mesenteric phlebosclerosis occurring in a patient with liver cirrhosis: a case report[J]. Medicine (Baltimore), 2024, 103(11): e37608.
[12] 沈金根,张希成,孙元龙,等. 特发性肠系膜静脉硬化性肠炎七例的临床特征和内镜下表现[J]. 中华消化杂志,2020,40(10):700-703.
[13] Hiramatsu K, Sakata H, Horita Y, et al.Mesenteric phlebosclerosis associated with long-term oral intake of geniposide, an ingredient of herbal medicine[J]. Aliment Pharmacol Ther, 2012, 36(6): 575-586.
