AI Article Synopsis
- Enterocolic lymphocytic phlebitis (ELP) is a rare intestinal condition involving lymphocyte inflammation of mesenteric veins, differing from conditions with arterial involvement.
- A 62-year-old man underwent partial ileum resection after 3 months of conservative treatment, revealing ELP combined with myointimal hyperplasia.
- The findings indicate a possible link between ELP and idiopathic myointimal hyperplasia (IMHMV), highlighting perivascular fibrosis as a key factor for distinguishing the two disorders.
Article Abstract
Enterocolic lymphocytic phlebitis (ELP) is a rare enteropathy characterized by lymphocytic phlebitis of the mesenteric veins without arteritis. Idiopathic myointimal hyperplasia of mesenteric veins (IMHMV) is a rare disease similar to ELP, characterized by myointimal hyperplasia that constricts the lumen of veins, causing mucosal injury. A 62-year-old man with chief complaint of abdominal pain was treated by partial resection of the ileum after 3 months of conservative therapy. The pathologic diagnosis was ELP with prominent myointimal hyperplasia. Histologically, the lesion consisted of lymphocytic infiltration into the vein accompanied by prominent myointimal hyperplasia and perivenous concentric fibrosis, which are characteristics shared by ELP and IMHMV. The observations in this case suggest that some of ELP and IMHMV may belong to the same disease spectrum. Furthermore, perivascular concentric fibrosis was a remarkable observation that may contribute to differential diagnosis between ELP and "true" IMHMV.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.carpath.2019.02.006 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!