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©The Author(s) 2025.
World J Gastroenterol. May 14, 2025; 31(18): 103778
Published online May 14, 2025. doi: 10.3748/wjg.v31.i18.103778
Published online May 14, 2025. doi: 10.3748/wjg.v31.i18.103778
Table 1 Clinical characteristics of all reported cases of idiopathic myointimal hyperplasia of the mesenteric veins to date
Case | Ref. | Age (year)/sex | Symptoms | Affected site | Clinical impression | Indication for surgery | Time to surgery | Follow-up |
1 | Current case | 50/F | Abdominal pain, abdominal distension | Terminal ileum | CD | Bowel obstruction | 6 years (this operation)/1 year (the first operation) | 1 month |
2 | Li et al[7] | 64/M | Abdominal pain, abdominal distension, weight loss | Terminal ileum | IBD | Bowel obstruction | 6 months | 1 year |
3 | Yamada et al[24] | 81/F | Abdominal pain, nausea and vomiting | Terminal ileum | Adhesive intestinal obstruction | Bowel obstruction | 1 year | 32 months |
4 | Guadagno et al[47] | 59/F | Abdominal pain, diarrhea, weight loss | Ileum | CD | Bowel obstruction | 6 months | 3 months |
5 | Laskaratos et al[25] | 62/F | Abdominal pain, diarrhea | Terminal ileum | IBD | Perforation | - | - |
6 | Lanitis et al[37] | 81/M | Abdominal pain, abdominal distension, constipation, weight loss, anorexia, bilateral lower limb edema | Terminal ileum | - | Appendiceal mucocoele and pseudomyxoma peritonei | 6 months | - |
7 | Bryant[30] | 42/F | Chest pain, seizures | Jejunum | - | - | - | - |
8 | Louie et al[27] | 57/F | Abdominal pain, nausea | Jejunum/ileum | - | CT scan showed bowel ischemia | - | 24 months |
9 | Martin et al[43] | 63/M | Diarrhea, hematochezia, weight loss, fever | Rectum - DC | IC | Persisting symptoms | 3.75 months | - |
10-13 | Lincango et al[42] | Mean 55 (range 45-61)/4 M | Abdominal pain (n = 3), diarrhea (n = 1), fever (n = 1), tenesmus (n = 2), rectal pain (n = 1), constipation and diarrhea alternated | Rectum - DC (n = 1), SC (n = 1), SC - DC (n = 1), RS (n = 1) | UC (n = 2), IC (n = 1), UC/IC (n = 1) | Medically refractory | > 10 days (n = 1) | Mean 69 months (range 12-144 months) |
14 | Al Ansari et al[18] | 63/M | Abdominal pain, diarrhea | SC - DC | Entamoeba histolytica colitis | Persisting symptoms | 41 days | 5 years |
15-26 | Kim et al[19] | Mean 66 (range 58-77)/11 M and 1F | Abdominal pain (n = 10), diarrhea (n = 9), constipation (n = 3), mucoid stools (n = 3), perianal pain | RS (n = 9), rectum - DC (n = 2), TC - terminal ileum | IC (n = 4); UC (n = 1), nonspecific colitis (n = 1), CMV colitis (n = 1), idiopathic phlebosclero colitis (n = 1), IMHMN (n = 3) | - | Mean 3 months (range 1-8 months) | Mean 29 months (range 2-125 months) |
27 | Chudy-Onwugaje et al[48] | 54/M | Abdominal pain, diarrhea, weight loss | TC | CMV colitis | Persisting symptoms | 4 months | - |
28 | Zhou et al[44] | 67/M | Abdominal pain, diarrhea, hematochezia, weight loss | Rectum - DC | UC | Persisting symptoms | 6.25 months | - |
29 | Han et al[31] | 74/M | Abdominal pain, diarrhea, hematochezia, weight loss | Rectum - TC | IMHMV | Persisting symptoms, IMHMV was suspected | 1 year | 5.5 months |
30 | Kelly et al[38] | 53/M | Abdominal pain, hematochezia, weight loss, tenesmus | Rectum - DC | UC/IMHMV | Persisting symptoms | 3 months | 3 months |
31 | Noujaim et al[49] | 66/M | Abdominal pain, diarrhea, hematochezia, weight loss, fever, night sweats | Rectum - DC | IBD/IMHMV/C. difficile infection | Acute abdomen | > 2 months | Died on postoperative day 4 |
32 | Yun et al[20] | 64/M | Abdominal pain, diarrhea, hematochezia | Rectum - TC | Non-thrombotic veno-occlusive disease, such as IMHMV | IMHMV was suspected | 2 years | 6 months |
33 | Almumtin et al[46] | 55/M | Abdominal pain, hematochezia, weight loss, constipation, fever | Rectum - TC | IBD | Perforation | 1 year | - |
34 | Shah et al[12] | 24/F | Abdominal pain, hematochezia | Rectum - DC | IC | Abdominal pain/perforation | > 1 month | - |
35 | Kawasaki et al[17] | 71/M | Abdominal pain, constipation | RS | IMHMV | IMHMV was suspected | 4 months | 8 months |
36 | Wong et al[21] | 72/M | Abdominal pain, diarrhea, hematochezia | Rectum - DC | IC/IMHMV | Acutely worsening abdominal pain with peritoneal signs | Several days | - |
37 | Dillione et al[50] | 47/M | Abdominal pain, hematochezia | RS | Ischemic proctitis | Persisting symptoms | Several weeks | - |
38 | Wangensteen et al[28] | 62/F | Abdominal pain, diarrhea, hematochezia | Rectum - DC | UC (initial)/IMHMV | Persisting symptoms, IMHMV was suspected | > 3 months | 1.5 years |
39-48 | Yantiss et al[35] | Mean 68 (range 25-83)/9 M and 1F | Abdominal pain (n = 6), diarrhea (n = 10), hematochezia (n = 9), weight loss (n = 2), Palpable mass | Rectum - DC (n = 7), SC (n = 1), SC - DC (n = 1) | IC/IBD (n = 1), IBD (n = 7), IC (n = 2) | Perforation (n = 5), obstruction and refractory colitic symptoms | - | - |
49 | AbiMansour et al[40] | 59/M | Abdominal pain, diarrhea, urgency | SC | Diverticulitis | Persisting symptoms | 1 year | - |
50 | Patel et al[51] | 65/M | Abdominal pain, rectal urgency, tenesmus | Rectum - DC | CD/IMHMV | Perforation | > 1.5 months | - |
51 | Morimura et al[11] | 44/M | Abdominal pain, constipation, fever | Rectum - TC | IBD/Eosinophilic enteritis | Bowel ischemia and necrosis with peritonitis | > 1 month | 1 year |
52 | Xie et al[52] | 21/F | Abdominal pain, diarrhea, hematochezia, fever, tenesmus | RS | Acute IBD | Massive hematochezia, shock | > 20 days | 2 years |
53 | Cauchois et al[53] | 48/M | Abdominal pain, diarrhea, hematochezia, fever, weight loss | RS | UC | Persistent symptoms | 5 months | - |
54 | Costa et al[33] | 47/M | Abdominal pain, diarrhea, hematochezia, fever, tenesmus, proctalgia, fecal incontinence | RS | IBD/IC | Persistent symptoms | 9 months | - |
55-62 | Anderson et al[34] | Median 62.5 (range 22-75)/6 M and 2F | Abdominal pain (n = 7), diarrhea (n = 5), hematochezia (n = 4) | SC (n = 6) | IBD (n = 3) | - | - | - |
63 | Mohtashami et al[45] | 61/M | Abdominal pain, diarrhea, hematochezia, abdominal distension | Rectum - DC | CD | Perforation | 3 weeks | - |
64 | Gonai et al[54] | 68/M | Abdominal distension, constipation, mucoid stools | SC - DC | Chronic venous ischemic disease | Persistent symptoms | - | - |
65 | Sahara et al[1] | 76/M | Abdominal pain, diarrhea | RS | UC/IC | Severe pain | 13 months | 3 months |
66 | García-Castellanos et al[32] | 32/F | Abdominal pain, diarrhea, hematochezia | Rectum - DC | Primary pneumatosis intestinalis, IC | Persistent rectal bleeding, severe pain | 3 months | 24 months |
67 | Feo et al[55] | 75/F | Abdominal pain, diarrhea, hematochezia, weight loss, tenesmus | RS | IC | Persistent symptoms | 6 months | - |
68 | Bhatt et al[29] | 82/M | Abdominal distension, diarrhea, erratic bowel movements, urgency, mucoid stools, weight loss | Rectum - DC | IC | Persistent symptoms | 3 months | > 1 year |
69 | Bhatt et al[29] | 59/M | Diarrhea, tenesmus | RS | Diverticulitis (initial)/IMHMV | Persistent symptoms/ MRI suggested IMHMV | - | > 1 year |
70 | Abbott et al[56] | 58/M | Abdominal pain, diarrhea, hematochezia | Rectum - DC | Entameba histolytica infection/IBD | Persistent symptoms | Several weeks | - |
71-74 | Genta and Haggitt[3] | Mean 40 (range 25-67)/4 M | Abdominal pain (n = 4), hematochezia | SC (n = 1), Rectum - DC (n = 1), RS (n = 2) | UC (n = 2), CD (n = 1), Stricture (n = 1) | Bowel obstruction (n = 1), toxic megacolon (n = 1), abdominal pain and hematochezia (n = 2) | Mean 3 months (range 1-6 months) | Mean 3.5 years (range 1-7 years) |
75 | Kao et al[9] | 38/M | Abdominal pain, rectalgia, constipation, hematochezia, mucoid stools, weight loss | RS | Idiopathic chronic IBD | Perforation | 5 months | 18 months |
76 | Yang et al[22] | 44/M | Abdominal pain, diarrhea, hematochezia | RS | UC/IC | Persistent symptoms | 2 months | - |
77 | Savoie et al[57] | 22/M | Abdominal pain, diarrhea, hematochezia, tenesmus | RS | UC | Persistent symptoms | > 2 weeks | 10 months |
78 | Abu-Alfa et al[4] | 58/M | Abdominal pain, diarrhea, hematochezia | SC | IBD/IC | Persistent bleeding, severe pain | 1 year | - |
79 | Chiang et al[39] | 60/M | Abdominal pain, diarrhea, hematochezia, weight loss | RS | UC | Persistent symptoms | 2 months | 4 months |
80 | Coombs et al[23] | 33/M | Abdominal pain, constipation, hematochezia | RS | IC | Persistent rectal bleeding and abdominal pain | 4 weeks | - |
81 | Uwah et al[36] | 37/M | Abdominal pain, constipation and diarrhea alternated, hematochezia | Rectum - DC | IBD/IC | Persistent symptoms/stricture | > 2 months | - |
82 | Uwah et al[36] | 49/M | Abdominal pain, diarrhea, hematochezia | Rectum - DC | Colitis of unknown etiology | Persistent symptoms | Several months | - |
83 | López et al[58] | 37/F | Abdominal pain, diarrhea | Rectum - terminal ileum | CD | Acute abdomen | 7 months | Died |
84 | Song et al[26] | 59/M | Abdominal pain, abdominal distension, constipation and diarrhea alternated, Incontinence | Rectum - terminal ileum | CD | Persistent symptoms | - | - |
85 | Louie et al[27] | 45/M | Lower gastrointestinal bleeding | RS | UC | - | - | - |
- Citation: Jiang ZX, Yuan LW, Peng LX, Yang LC, Zhang YW, Wu Q, Yao BJ, Wang XH. Idiopathic myointimal hyperplasia of the mesenteric veins affecting the small intestine alone: A case report and review of literature. World J Gastroenterol 2025; 31(18): 103778
- URL: https://www.wjgnet.com/1007-9327/full/v31/i18/103778.htm
- DOI: https://dx.doi.org/10.3748/wjg.v31.i18.103778