title: Acute fulminant colitis caused by idiopathic mesenteric inflammatory veno-occlusive disease.
abstract: Mesenteric inflammatory veno-occlusive disease (MIVOD) is an uncommon but important cause of bowel inflammation. MIVOD is characterised by lymphocytic inflammation and non-thrombotic occlusion of the mesenteric venules and veins. We present the case of a young man who presented with acute fulminant colitis, requiring colectomy. The differential diagnosis, pathogenesis and treatment are discussed. This case illustrates the rapid progression from 'well' to 'colectomy' that can occur with MIVOD. MIVOD should be considered in the differential diagnosis of colitis that does not respond to conventional medical treatment.
authors.affiliation: Department of Gastroenterology, Beaumont Hospital and the Royal College of Surgeons in Ireland, Dublin, Republic of Ireland.
authors.forename: James B
authors.initials: JB
authors.lastname: Canavan
authors.forename: Alan
authors.initials: A
authors.lastname: Coss
authors.forename: Mary
authors.initials: M
authors.lastname: Leader
authors.forename: Stephen E
authors.initials: SE
authors.lastname: Patchett