Document Detail

Mesenteric venulitis in a 71-year-old man after acute appendicitis.
MedLine Citation:
PMID:  16089121     Owner:  NLM     Status:  MEDLINE    
Mesenteric inflammatory veno-occlusive disease (MIVOD) is a clinicopathological entity recently described for a case series of patients with intestinal ischemia of unknown etiology. MIVOD is characterized as a venulitis with lymphocytic, necrotizing, or mixed granulomatous morphology. The disease seems to be self-limiting with resolution of symptoms after surgical resection. We describe a 71-year-old man who developed focal intestinal ischemia in the postoperative period after laparoscopic appendectomy. At re-exploration, a 20-cm segment of grossly ischemic jejunum was identified and resected. The excised specimen demonstrated early ischemic mucosal injury and necrotizing mesenteric venulitis with thrombosis, consistent with verso-occlusive disease. The etiology of this rare vasculitis is currently unknown. We present our case report, which is followed by a review of the literature of MIVOD.
Paul Charron; Jeff Smith
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The American surgeon     Volume:  71     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  2005 Jul 
Date Detail:
Created Date:  2005-08-10     Completed Date:  2005-08-30     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  574-7     Citation Subset:  IM    
Orlando Regional Healthcare, Orlando, Florida, USA.
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MeSH Terms
Acute Disease
Anastomosis, Surgical
Appendectomy / adverse effects,  methods
Appendicitis / diagnosis,  surgery*
Biopsy, Needle
Colitis, Ischemic / etiology,  pathology*,  surgery
Follow-Up Studies
Laparoscopy / adverse effects*,  methods
Laparotomy / methods
Mesenteric Vascular Occlusion / etiology,  pathology*,  surgery
Risk Assessment
Tomography, X-Ray Computed
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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