Year 2024 / Volume 116 / Number 3
Letter
Idiopathic mesenteric phlebosclerotic colitis associated with Chinese herbal medicine

170-171

DOI: 10.17235/reed.2023.9641/2023

Shurong Chen, Yuandong Zhu, Bo Wu, Xincheng Xie,

Abstract
Idiopathic mesenteric phlebosclerotic colitis(IMP) is a rare disease. At present, the etiology and pathogenesis are not clear, but the main patients are Asian people, and most of them have a history of taking Chinese herbal medicines. The disease has characteristic endoscopic and imaging manifestations. This paper shares a case of IMP, The patient came to our hospital for one year because of intermittent abdominal pain and diarrhea. It conforms to the typical manifestations of IMP. For patients who take Chinese herbal medicine for a long time, if they have clinical manifestations of gastrointestinal tract, it is necessary to consider the possibility of the disease to avoid serious consequences due to missed diagnosis.
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References
[1] Yao T., Iwashita A., Hoashi T., Matsui T., Sakurai T., Arima S., Ono H., Schlemper R J.(2000). Phlebosclerotic colitis: value of radiography in diagnosis--report of three cases. Radiology, 214(1), 188-92. doi:10.1148/radiology.214.1.r00ja01188
[2] Iwashita Akinori., Yao Tsuneyoshi., Schlemper Ronald J., Kuwano Yasuyuki., Yao Takashi., Iida Mitsuo., Matsumoto Takayuki., Kikuchi Masahiro.(2003). Mesenteric phlebosclerosis: a new disease entity causing ischemic colitis. Dis Colon Rectum, 46(2), 209-20. doi:10.1097/01.DCR.0000044720.43258.6E
[3] Shimizu Seiji., Kobayashi Taku., Tomioka Hideo., Ohtsu Kensei., Matsui Toshiyuki., Hibi Toshifumi. (2017). Involvement of herbal medicine as a cause of mesenteric phlebosclerosis: results from a large-scale nationwide survey. J Gastroenterol, 52(3), 308-314. doi:10.1007/s00535-016-1218-9.
[4] Wang Jialiang., Shao Jun., Lu Helei., Wang Bingyi., Chen Ji.(2021). Idiopathic mesenteric phlebosclerosis: one case report and systematic literature review of 240 cases. Am J Transl Res, 13(11), 13156-13166.
[5] Sasaki Yosuke., Saito Manabu., Koshiba Yumi., Zai Hiroaki., Urita Yoshihisa.(2017). Idiopathic mesenteric phlebosclerosis associated with herbal drugs presenting with asymptomatic fecal occult blood. J Gen Fam Med, 18(6), 475-476. doi:10.1002/jgf2.122
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Chen S, Zhu Y, Wu B, Xie X. Idiopathic mesenteric phlebosclerotic colitis associated with Chinese herbal medicine. 9641/2023


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Publication history

Received: 02/04/2023

Accepted: 18/04/2023

Online First: 28/04/2023

Published: 04/03/2024

Article Online First time: 26 days

Article editing time: 337 days


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