Idiopathic Myointimal Hyperplasia of the Mesenteric Veins: A Rare Imitator of Inflammatory Bowel Disease

2020 ◽  
pp. 000313482097339
Author(s):  
W. Kelly Wu ◽  
Claudio R. Tombazzi ◽  
Catherine F. Howe ◽  
Melissa A. Kendall ◽  
Douglas B. Walton ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Clinical Course ◽  
Definitive Diagnosis ◽  
Colonic Ischemia ◽  
Rectosigmoid Colon ◽  
Radiographic Findings ◽  
Mesenteric Veins ◽  
Luminal Narrowing ◽  
Smooth Muscle Proliferation ◽  
Inflammatory Bowel

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.

scholarly journals Mo1343 Inflammatory Bowel Disease Unclassified in Real Practice: Prevalence, Clinical Course and Therapy Requirements

2013 ◽  
Vol 144 (5) ◽  
pp. S-642
Author(s):  
Fernando Bermejo ◽  
Alicia Algaba ◽  
José Luis Cuño ◽  
Belén Botella ◽  
Carlos Taxonera ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Clinical Course ◽  
Inflammatory Bowel ◽  
Real Practice

scholarly journals Influence of a Positive Family History on the Clinical Course of Inflammatory Bowel Disease

2016 ◽  
Vol 10 (9) ◽  
pp. 1024-1032 ◽  
Author(s):  
Sung Wook Hwang ◽  
Min Seob Kwak ◽  
Wan Soo Kim ◽  
Jeong-Mi Lee ◽  
Sang Hyoung Park ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Family History ◽  
Bowel Disease ◽  
Clinical Course ◽  
Positive Family History ◽  
Inflammatory Bowel

scholarly journals Diversion colitis: a trigger for ulcerative colitis in the in-stream colon?

Gut ◽  
1999 ◽  
Vol 44 (2) ◽  
pp. 279-282 ◽  
Author(s):  
A G Lim ◽  
F L Langmead ◽  
R M Feakins ◽  
D S Rampton
Keyword(s):  
Ulcerative Colitis ◽  
Inflammatory Bowel Disease ◽  
Risk Factor ◽  
Large Intestine ◽  
Bowel Disease ◽  
Rectosigmoid Colon ◽  
Diversion Colitis ◽  
End Colostomy ◽  
Microscopic Features ◽  
Inflammatory Bowel

The aetiology of ulcerative colitis is unknown. Two patients without pre-existing inflammatory bowel disease in whom end colostomy for faecal incontinence was complicated by diversion colitis in the defunctioned rectosigmoid colon, are described. In both instances, colitis with the clinical, colonoscopic, and microscopic features of ulcerative colitis developed about a year later in the previously normal in-stream colon proximal to the colostomy. These cases suggest that diversion colitis may be a risk factor for ulcerative colitis in predisposed individuals and that ulcerative colitis can be triggered by anatomically discontinuous inflammation elsewhere in the large intestine.

Hypercalciuria With Nephrolithiasis: A Complication of Total Parenteral Nutrition

PEDIATRICS ◽  
1977 ◽  
Vol 59 (3) ◽  
pp. 473-475
Author(s):  
Raymond D. Adelman ◽  
Steven B. Abern ◽  
David Merten ◽  
Charles H. Halsted
Keyword(s):  
Inflammatory Bowel Disease ◽  
Parenteral Nutrition ◽  
Total Parenteral Nutrition ◽  
Bowel Disease ◽  
Present Report ◽  
Tube Feeding ◽  
Renal Calculi ◽  
Radiographic Findings ◽  
Inflammatory Bowel ◽  
Hyperosmolar Coma

Total parenteral nutrition (TPN) is a proven adjunct to the management of severely debilitated patients in whom oral or tube feeding is ineffective or contraindicated.1-4 Several studies have shown that the use of TPN in inflammatory bowel disease has led to better nutritional preparation for surgery, amelioration of symptoms and radiographic findings, and possibly even remission.5-7 Reported complications of the use of TPN include hypophosphatemia, acidosis, hyperglycemia, and hyperosmolar coma.1-4 The present report concerns a child with severe Crohn's disease who developed marked hypercalciuria associated with renal calculi while receiving TPN. After removal of calcium from the TPN solution, there was rapid disappearance of hypercalciuria followed by passage and dissolution of calculi.

scholarly journals Epidemiology and clinical course of inflammatory bowel disease in the Central Province of Sri Lanka: A hospital-based study

JGH Open ◽  
2018 ◽  
Vol 2 (4) ◽  
pp. 129-133 ◽  
Author(s):  
Udaya Kalubowila ◽  
Tharanga Liyanaarachchi ◽  
K B Galketiya ◽  
Palitha Rathnayaka ◽  
I N A P Piyasena ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Sri Lanka ◽  
Bowel Disease ◽  
Clinical Course ◽  
Central Province ◽  
Inflammatory Bowel
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