切换至 "中华医学电子期刊资源库"

中华结直肠疾病电子杂志 ›› 2020, Vol. 09 ›› Issue (03) : 302 -304. doi: 10.3877/cma.j.issn.2095-3224.2020.03.018

所属专题: 经典病例 经典病例 文献

病例报道

特发性肠系膜静脉硬化性肠炎一例与文献复习
李永宇1, 何瑶2,()   
  1. 1. 133000 延吉,延边大学附属医院消化内科
    2. 510080 广州,中山大学附属第一医院消化内科
  • 收稿日期:2018-12-17 出版日期:2020-06-25
  • 通信作者: 何瑶

Idiopathic mesenteric phlebosclerosis: one case report and literature review

Yongyu Li1, Yao He2,()   

  1. 1. Department of Gastroenterology, Affiliated Hospital of Yanbian University, Yanji 133000, China
    2. Department of Gastroenterology, First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China
  • Received:2018-12-17 Published:2020-06-25
  • Corresponding author: Yao He
  • About author:
    Corresponding author: He Yao, Email:
引用本文:

李永宇, 何瑶. 特发性肠系膜静脉硬化性肠炎一例与文献复习[J]. 中华结直肠疾病电子杂志, 2020, 09(03): 302-304.

Yongyu Li, Yao He. Idiopathic mesenteric phlebosclerosis: one case report and literature review[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2020, 09(03): 302-304.

特发性肠系膜静脉硬化性肠炎(IMP)是比较罕见的疾病,临床上以腹痛、腹泻为主要表现,可伴有恶心、呕吐等非特异性症状。临床表现无特异性,有时诊断比较困难。CT的特征是肠系膜小静脉血管及其分支钙化,病理学上提示静脉壁的显著纤维化和钙化时可以确诊,目前其病因和发病机制尚不清楚。

Idiopathic mesenteric phlebosclerosis (IMP) is a relatively rare disease. Clinically, abdominal pain and diarrhea are the main manifestations of IMP, and may be associated with non-specific symptoms such as nausea and vomiting. Clinical manifestations of this disease are not specific, it was difficult to diagnose. The calcifications in mesenteric venous walls and their branches in computed tomography (CT) and significant fibrosis and calcification in mesenteric veins in pathological examinations are the characteristics for the diagnosis of IMP. The etiology and pathogenesis are still unclear.

图2 CTE血管重建。主要累及肠系膜上静脉属支及部分小动脉血管多发钙化
图4 回盲瓣可见线状溃疡,周围黏膜充血、水肿
[1]
Koyama N, Koyama H, Hanashima T, et al. A case of right-sided constrictive ischemic colitis presenting with achronic course[Article in Japanese] [J]. Stomach Intestine, 1991, 26: 455-460.
[2]
Iwashita A, Yao T, Schlemper RJ, et al. Mesenteric phlebosclerosis: a new disease entity causing ischemic colitis [J]. Dis Colon Rectum, 2003, 46(2): 209-220.
[3]
Guo F, Zhou YF, Zhang F, et al. Idiopathic mesenteric phlebosclerosis associated with long-term use of medical liquor: Two case reports and literature review [J]. World J Gastroenterol, 2014, 20(18): 5561-5566.
[4]
Hiramatsu K, Sakata H, Horita Y, et al. Mesenteric phlebosclerosis associated with long-term oral intake of geniposide, an ingredient of herbal medicine [J]. Alimentary Pharmacology and Therapeutics, 2017, 52(3): 308-314.
[5]
Kang MJ, Khanal T, Kim HG, et al. Role of metabolism by human intestinal microflora in geniposide induced toxicity in HepG2 cells [J]. Arch Pharm Res, 2012, 35(4): 733-738.
[1] 杨水华, 何桂丹, 覃桂灿, 梁蒙凤, 罗艳合, 李雪芹, 唐娟松. 胎儿孤立性完全型肺静脉异位引流的超声心动图特征及高分辨率血流联合时间-空间相关成像的应用[J]. 中华医学超声杂志(电子版), 2023, 20(10): 1061-1067.
[2] 蒋佳纯, 王晓冰, 陈培荣, 许世豪. 血清学指标联合常规超声及超声造影评分诊断原发性干燥综合征的临床价值[J]. 中华医学超声杂志(电子版), 2023, 20(06): 622-630.
[3] 谭巧, 苏小涵, 侯令密, 黎君彦, 邓世山. 乳腺髓样癌的诊治进展[J]. 中华乳腺病杂志(电子版), 2023, 17(06): 366-368.
[4] 杨小菁, 姜瑞瑞, 石玉香, 王静静, 李长天. 乳腺孤立性纤维性肿瘤一例[J]. 中华乳腺病杂志(电子版), 2023, 17(06): 375-377.
[5] 冯雪园, 韩萌萌, 马宁. 乳腺原发上皮样血管内皮瘤一例[J]. 中华乳腺病杂志(电子版), 2023, 17(06): 378-380.
[6] 李培杰, 乔永杰, 张浩强, 曾健康, 谭飞, 李嘉欢, 王静, 周胜虎. 细菌培养阴性的假体周围感染诊治的最新进展[J]. 中华关节外科杂志(电子版), 2023, 17(06): 827-833.
[7] 彭旭, 邵永孚, 李铎, 邹瑞, 邢贞明. 结肠肝曲癌的诊断和外科治疗[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 108-110.
[8] 李智铭, 郭晨明, 庄晓晨, 候雪琴, 高军喜. 早期乳腺癌超声造影定性及定量指标的对比研究[J]. 中华普外科手术学杂志(电子版), 2023, 17(06): 639-643.
[9] 杨雪, 张伟, 尚培中, 宋创业, 尚丹丹, 张蔚. 胆囊十二指肠瘘结石经瘘口排出后自愈一例报道[J]. 中华普外科手术学杂志(电子版), 2023, 17(06): 707-708.
[10] 蓝冰, 王怀明, 王辉, 马波. 局部晚期结肠癌膀胱浸润的研究进展[J]. 中华结直肠疾病电子杂志, 2023, 12(06): 505-511.
[11] 杨红杰, 张智春, 孙轶. 直肠癌淋巴结转移诊断研究进展[J]. 中华结直肠疾病电子杂志, 2023, 12(06): 512-518.
[12] 赵立力, 王魁向, 张小冲, 李志远. 血沉与C-反应蛋白比值在假体周围感染中的诊断价值分析[J]. 中华老年骨科与康复电子杂志, 2023, 09(06): 351-355.
[13] 袁媛, 赵良平, 刘智慧, 张丽萍, 谭丽梅, 閤梦琴. 子宫内膜癌组织中miR-25-3p、PTEN的表达及与病理参数的关系[J]. 中华临床医师杂志(电子版), 2023, 17(9): 1016-1020.
[14] 李田, 徐洪, 刘和亮. 尘肺病的相关研究进展[J]. 中华临床医师杂志(电子版), 2023, 17(08): 900-905.
[15] 周婷, 孙培培, 张二明, 安欣华, 向平超. 北京市石景山区40岁及以上居民慢性阻塞性肺疾病诊断现状调查[J]. 中华临床医师杂志(电子版), 2023, 17(07): 790-797.
阅读次数
全文


摘要