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Enterocolic phlebitis:a rare cause of bowel ischemia and review of the literature

Gastroenterology Report 2023年第1期11卷 24-31页

作者： Stefanie Bowee Sophia B.Matter Heather Dawson Roman A.Inglin Department of General Surgery Spital InterlakenUnterseenSwitzerland Institute of Pathology University of BernBernSwitzerland

Enterocolic phlebitis(EP)is a rare cause of bowel ischemia due to isolated venulitis of the bowel wall and mesentery without arterial *** is often misdiagnosed as inﬂammatory bowel disease,carcinoma,or diverticulitis due to non-speciﬁc symptoms as well as non-speciﬁc clinical and radiologicalﬁ*** unresponsive to pharmacotherapy,surgical resection of the affected bowel appears to be the only successful therapy with a very low recurrence *** of EP remains *** report a case of EP with rare presentation in the left hemicolon and unusual histologicalﬁndings emphasizing the heterogeneity of this cause of enterocolic *** review and comparison of the three enti-ties—EP,mesenteric inﬂammatory veno-occlusive disease(MIVOD),and idiopathic myointimal hyperplasia of mesenteric veins(IMHMV),all describing patterns of bowel ischemia due to isolated pathology of mesenteric veins—reveal that the current terminology is *** and MIVOD are very similar and may be considered the same ***,though,differs in localization,symptom duration,and histologicalﬁndings but also shares features with EP and *** studies and harmonized terminology are inevitable for better understanding of the disease,prevention of unnecessary pharmacotherapy,and reduction in time to diagnosis.

关键词： phlebitis acute abdomen mesenteric vascular occlusion mesenteric ischemia colectomy case report

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Superior mesenteric vein thrombosis induced by influenza infection:A case report

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World Journal of Clinical Cases 2020年第18期8卷 4193-4199页

作者： Gyu Man Oh Kyoungwon Jung Jae Hyun Kim Sung Eun Kim Won Moon Moo In Park Seun Ja Park Department of Internal Medicine Kosin University College of MedicineBusan 49267South Korea

BACKGROUND Among the various types and causes of mesenteric ischemia,superior mesenteric vein(SMV)thrombosis is a rare and ambiguous *** a patient presents with SMV thrombosis,past medical history should be reviewed,and the patient should be screened for underlying *** thrombosis may also occur due to systemic *** this report,we describe a case of SMV thrombosis complicated by influenza B *** SUMMARY A 64-year-old male visited the hospital with general weakness,muscle aches,fever,and abdominal *** patient underwent computed tomography(CT)and was diagnosed with SMV *** the patient’s muscle pain and fever could not be explained by the SMV thrombosis,the clinician performed a test for influenza,which produced a positive result for influenza *** patient had a thrombus in the SMV only,with no invasion of the portal or splenic veins,and was clinically *** treatment was prescribed without surgery or other *** follow-up CT scan showed improvement,and the patient was subsequently discharged with continued oral anticoagulant *** This case provides evidence that influenza may be a possible risk factor for SMV *** unexplained abdominal pain is accompanied by an influenza infection,examination of an abdominal CT scan may be necessary to screen for possible SMV thrombosis.

关键词： Influenza B virus mesenteric ischemia Venous thrombosis mesenteric vascular occlusion Influenza Human Case reports

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