Ischemic Colitis From Idiopathic Myointimal Hyperplasia of the Mesenteric Veins in a Post-Liver Transplant Patient.

TitleIschemic Colitis From Idiopathic Myointimal Hyperplasia of the Mesenteric Veins in a Post-Liver Transplant Patient.
Publication TypeJournal Article
Year of Publication2021
AuthorsWong R, Westerveld D, Yeo H, Jessurun J, Jesudian A
JournalACG Case Rep J
Volume8
Issue11
Paginatione00692
Date Published2021 Nov
ISSN2326-3253
Abstract

Idiopathic myointimal hyperplasia of the mesenteric veins (IMHMV) is a rare cause of nonthrombotic, noninflammatory ischemic colitis. IMHMV classically presents in men with abdominal pain and bloody diarrhea and is frequently misdiagnosed as inflammatory bowel disease. However, IMHMV causes a more protracted, relapsing course of abdominal pain that does not respond to medical therapy. The diagnosis can be secured by colonoscopic biopsy. Surgical resection is curative and should be considered even in high-risk patients. Here, we describe a case of IMHMV diagnosed preoperatively in a post-liver transplant patient with residual portal hypertension who ultimately underwent successful surgical resection.

DOI10.14309/crj.0000000000000692
Alternate JournalACG Case Rep J
PubMed ID34746329
PubMed Central IDPMC8568464
Related Faculty: 
Jose Jessurun, M.D.

Pathology & Laboratory Medicine 1300 York Avenue New York, NY 10065 Phone: (212) 746-6464
Surgical Pathology: (212) 746-2700