Resection of mesenteric inflammatory veno-occlusive disease causing ischemic colitis.
Mesenteric inflammatory veno-occlusive disease (MIVOD) is a rare cause of mesenteric ischemia that is diagnosed by histologic examination of the operative specimen. Recurrence of symptoms occurs, but further resection of ischemic intestine is seldom required. We describe the case of MIVOD in a young patient with clinical findings of ischemic colitis. The patient experienced complete resolution of the process, thus confirming the relatively benign course of this disease following resection. This report substantiates resolution of the inflammatory process after resection, colostomy, and reanastomosis. We review the literature and make conclusions regarding the clinical management of this disease.
Bao
Philip
P
Department of General Surgery, Vanderbilt University Medical Center, Nashville, Tennessee 37232, USA.
Welch
Derek C
DC
Washington
Mary K
MK
Herline
Alan J
AJ
D015746:Abdominal Pain / Q000175:diagnosis / Q000209:etiology; D000328:Adult; D000714:Anastomosis, Surgical; D000792:Angiography / Q000379:methods; D001707:Biopsy, Needle; D003082:Colectomy / Q000379:methods*; D017091:Colitis, Ischemic / Q000209:etiology* / Q000473:pathology / Q000601:surgery*; D012809:Colon, Sigmoid / Q000601:surgery; D003125:Colostomy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007150:Immunohistochemistry; D007813:Laparotomy / Q000379:methods; D008641:Mesenteric Vascular Occlusion / Q000150:complications* / Q000175:diagnosis*; D012007:Rectum / Q000601:surgery; D018570:Risk Assessment; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome