Skip to main content

Advertisement

SpringerLink
Log in

Resection of mesenteric infiammatory veno-occlusive disease causing ischemic colitis

  • Published:
Journal of Gastrointestinal Surgery

Abstract

Mesenteric in.ammatory 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 infiammatory process after resection, colostomy, and reanastomosis. We review the literature and make conclusions regarding the clinical management of this disease.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Schoots I, Koffeman G, Legemate D, Levi M, van Gulik T. Systematic review of survival after acute mesenteric ischaemia according to disease aetiology. Br J Surg 2004;91:17–27.

    Article  PubMed  CAS  Google Scholar 

  2. Flaherty M, Lie J, Haggitt R. Mesenteric infiammatory venoocclusive disease. A seldom recognized cause of intestinal ischemia. Am J Surg Pathol 1994;18:779–784.

    Article  PubMed  CAS  Google Scholar 

  3. Saraga E, Costa J. Idiopathic entero-colic lymphocytic phlebitis: a cause of ischemic intestinal necrosis. Am J Surg Pathol 1989;13:303–308.

    Article  PubMed  CAS  Google Scholar 

  4. Endes P, Molnar P. Chronic intestinal lymphocytic microphlebitis. Acta Morphol Hung 1992;40:137–147.

    PubMed  CAS  Google Scholar 

  5. Genta R, Haggitt R. Idiopathic myointimal hyperplasia of mesenteric veins. Gastroenterology 1991;101:533–539.

    PubMed  CAS  Google Scholar 

  6. Martinet O, Reis E, Joseph J, Saraga E, Gillet T. Isolated granulomatous phlebitis: rare cause of ischemic necrosis of the colon: report of a case. Dis Colon Rectum 2000;43:1601–1603.

    Article  PubMed  CAS  Google Scholar 

  7. Corsi A, Ribaldi S, Coletti M, Bosman C. Intramural mesenteric venulitis. A new cause of intestinal ischaemia. Virchows Arch 1995;427:65–69.

    Article  PubMed  CAS  Google Scholar 

  8. Bando H, Kobayashi S, Matsumoto T, et al. Acute acalculous cholecystitis induced by mesenteric infiammatory venoocclusive disease (MIVOD) in systemic lupus erythematosus. Clin Rheumatol 2003;22:447–449.

    Article  PubMed  Google Scholar 

  9. Gul A, Inanc M, Ocal L, Konice M, Aral O, Lie J. Primary antiphospholipid syndrome associated with mesenteric in-.ammatory veno-occlusive disease. Clin Rheumatol 1996;15:207–210.

    Article  PubMed  CAS  Google Scholar 

  10. Ailani R, Simms R, Caracioni A, West B. Extensive mesenteric infiammatory veno-occlusive disease of unknown etiology after primary cytomegalovirus infection: first case. Am J Gastroenterol 1997;92:1216–1218.

    PubMed  CAS  Google Scholar 

  11. Chergui M, Vandeperre J, Van Eeckhout P. Enterocolic lymphocytic phlebitis: a case report. Acta Chir Belg 1997;97:293–296.

    PubMed  CAS  Google Scholar 

  12. Arain F, Willey J, Richter J, Senagore A, Petras R. An unusual presentation of enterocolic lymphocytic phlebitis. J Clin Gastroenterol 2002;34:252–254.

    Article  PubMed  Google Scholar 

  13. Tuppy H, Haidenthaler A, Schandalik R, Oberhuber G. Idiopathic enterocolic lymphocytic phlebitis: a rare cause of ischemic colitis. Mod Pathol 2000;13:897–899.

    Article  PubMed  CAS  Google Scholar 

  14. Haber M, Burrell M, West A. Enterocolic lymphocytic phlebitis. Clinical, radiology, and pathologic features. J Clin Gastroenterol 1993;17:327–332.

    Article  PubMed  CAS  Google Scholar 

  15. Pares D, Biono S, Marti-Rague J, Vidal A, Kreisler E, Jaurrieta E. Enterocolic lymphocytic phlebitis of the right colon as a cause of massive gastrointestinal bleeding. Colorectal Dis 2003;5:376–379.

    Article  PubMed  CAS  Google Scholar 

  16. Burke A, Sobin L, Virmani R. Localized vasculitis of the gastrointestinal tract. Am J Surg Pathol 1995;19:338–349.

    Article  PubMed  CAS  Google Scholar 

  17. Lie J. Vasculitis and the gut. J Rheumatol 1991;18:647–649.

    PubMed  CAS  Google Scholar 

  18. Lavu K, Minocha A. Mesenteric infiammatory veno-occlusive disorder: a rare entity mimicking infiammatory bowel disorder. Gastroenterology 2003;125:236–239.

    Article  PubMed  Google Scholar 

  19. Lie J. Mesenteric infiammatory veno-occlusive disease (MIVOD): an emerging and unsuspected cause of digestive tract ischemia. Vasa 1997;26:91–96.

    PubMed  CAS  Google Scholar 

  20. Saraga E, Bouzourenne H. Enterocolic (lymphocytic) phlebitis: a rare cause of intestinal ischemic necrosis. Am J Surg Pathol 2000;24:824–829.

    Article  PubMed  CAS  Google Scholar 

  21. Tempia-Caliera A, Renzulli P, Z’graggen K, Lehmann T, Ruchti C, Buchler M. Mesenteric infiammatory venoocclusive disease: a rare cause of intestinal ischemia. Digestion 2002;66:262–264.

    Article  PubMed  CAS  Google Scholar 

  22. Iwashita A, Yao T, Schlemper RJ, et al. Mesenteric phlebosclerosis: a new disease entity causing ischemic colitis. Dis Colon Rectum 2003;46:209–220.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Departments of General Surgery, Vanderbilt University Medical Center, Nashville, Tennessee

    Philip Bao M.D. &  Alan J. Herline M.D.

  2. Departments of Pathology, Vanderbilt University Medical Center, Nashville, Tennessee

    Derek C. Welch M.D. & Mary K. Washington M.D., Ph.D.

Authors
  1. Philip Bao M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Derek C. Welch M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Mary K. Washington M.D., Ph.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Alan J. Herline M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Alan J. Herline M.D..

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bao, P., Welch, D.C., Washington, M.K. et al. Resection of mesenteric infiammatory veno-occlusive disease causing ischemic colitis. J Gastrointest Surg 9, 812–817 (2005). https://doi.org/10.1016/j.gassur.2005.02.002

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1016/j.gassur.2005.02.002

Key words

Search

Navigation