Bowee, Stefanie; Matter, Sophia B; Dawson, Heather; Inglin, Roman A (2023). Enterocolic phlebitis: a rare cause of bowel ischemia and review of the literature. Gastroenterology report, 11(goad002), goad002. Oxford University Press 10.1093/gastro/goad002
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Enterocolic phlebitis (EP) is a rare cause of bowel ischemia due to isolated venulitis of the bowel wall and mesentery without arterial involvement. EP is often misdiagnosed as inflammatory bowel disease, carcinoma, or diverticulitis due to non-specific symptoms as well as non-specific clinical and radiological findings. While unresponsive to pharmacotherapy, surgical resection of the affected bowel appears to be the only successful therapy with a very low recurrence rate. Etiology of EP remains unknown. We report a case of EP with rare presentation in the left hemicolon and unusual histological findings emphasizing the heterogeneity of this cause of enterocolic ischemia. The review and comparison of the three entities-EP, mesenteric inflammatory veno-occlusive disease (MIVOD), and idiopathic myointimal hyperplasia of mesenteric veins (IMHMV), all describing patterns of bowel ischemia due to isolated pathology of mesenteric veins-reveal that the current terminology is unclear. EP and MIVOD are very similar and may be considered the same disease. IMHMV, though, differs in localization, symptom duration, and histological findings but also shares features with EP and MIVOD. Further studies and harmonized terminology are inevitable for better understanding of the disease, prevention of unnecessary pharmacotherapy, and reduction in time to diagnosis.
Item Type: |
Journal Article (Review Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Service Sector > Institute of Pathology > Clinical Pathology |
UniBE Contributor: |
Dawson, Heather |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
2052-0034 |
Publisher: |
Oxford University Press |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
07 Feb 2023 12:19 |
Last Modified: |
12 Feb 2023 02:26 |
Publisher DOI: |
10.1093/gastro/goad002 |
PubMed ID: |
36741906 |
Uncontrolled Keywords: |
acute abdomen case report colectomy mesenteric ischemia mesenteric vascular occlusion phlebitis |
BORIS DOI: |
10.48350/178438 |
URI: |
https://boris.unibe.ch/id/eprint/178438 |
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