The radiologic diagnosis of idiopathic myointimal hyperplasia of mesenteric veins with a novel presentation: Case report and literature review

Seong Jong Yun, Deok Ho Nam, Jihun Kim, Jung Kyu Ryu, Sun Hwa Lee

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Idiopathic myointimal hyperplasia of mesenteric veins (IMHMV) is a rare condition of the rectosigmoid colon that primarily affects middle-aged men. IMHMV typically presents as proctosigmoiditis and often requires surgical resection due to complications throughout the protracted clinical course. It can be differentiated from idiopathic chronic inflammatory bowel disease by histopathologic examination of surgically resected colon specimens. This report describes a rare case of IMHMV presenting as left hemicolitis in a 64-year-old male. We also describe potentially distinguishing computed tomographic and angiographic findings that may aid in the diagnosis of IMHMV.

Original languageEnglish
Pages (from-to)870-874
Number of pages5
JournalClinical Imaging
Volume40
Issue number5
DOIs
StatePublished - 1 Sep 2016

Keywords

  • Angiography
  • Computed tomography
  • Idiopathic myointimal hyperplasia of mesenteric veins
  • Left hemicolitis
  • Venous ischemia

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