Intestinal Ultrasound's New Target: Idiopathic Mesenteric Vein Sclerosing Enteritis
ABSTRACT Introduction As a rare clinical entity within the non‐thrombotic ischemic colitis spectrum, idiopathic mesenteric phlebosclerotic colitis (IMPC) has been increasingly recognized to exhibit a pathogenic correlation with extended herbal medicine consumption. Case Presentation A 48‐year‐old fe...
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| Format: | Article |
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Wiley
2025-07-01
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| Series: | JGH Open |
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| Online Access: | https://doi.org/10.1002/jgh3.70217 |
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| author | Qianjiang Luo Xiaoshan Huang Zhong Zheng Luhong Zhu Mei Luo Wenxing Zhang Qinglian Zhong Jian Huang Yuhang Zhou Jin Li Wanjie Zhu |
| author_facet | Qianjiang Luo Xiaoshan Huang Zhong Zheng Luhong Zhu Mei Luo Wenxing Zhang Qinglian Zhong Jian Huang Yuhang Zhou Jin Li Wanjie Zhu |
| author_sort | Qianjiang Luo |
| collection | DOAJ |
| description | ABSTRACT Introduction As a rare clinical entity within the non‐thrombotic ischemic colitis spectrum, idiopathic mesenteric phlebosclerotic colitis (IMPC) has been increasingly recognized to exhibit a pathogenic correlation with extended herbal medicine consumption. Case Presentation A 48‐year‐old female complained of abdominal pain for over 3 years was diagnosed IMPC and concurrent Entamoeba coli infection. The patient underwent non‐targeted pharmacotherapy, which yielded poor results. In this case, we introduced a non‐invasive diagnostic tool, gastrointestinal ultrasound (GIUS), to assist in the diagnosis. Additionally, we observed this patient developed opportunistic infections of the gastrointestinal tract, a phenomenon that appears to be associated with compromised immune function and reduced microbial defense capabilities. Conclusion Gastrointestinal ultrasound was introduced to assist in diagnosis of IMPC in this case. Currently, treatment options for severe IMPC are limited, highlighting the need for further research into its mechanisms and therapeutic approaches. |
| format | Article |
| id | doaj-art-dbc531579b9649b58ceef853bc511b52 |
| institution | DOAJ |
| issn | 2397-9070 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | JGH Open |
| spelling | doaj-art-dbc531579b9649b58ceef853bc511b522025-08-20T02:45:52ZengWileyJGH Open2397-90702025-07-0197n/an/a10.1002/jgh3.70217Intestinal Ultrasound's New Target: Idiopathic Mesenteric Vein Sclerosing EnteritisQianjiang Luo0Xiaoshan Huang1Zhong Zheng2Luhong Zhu3Mei Luo4Wenxing Zhang5Qinglian Zhong6Jian Huang7Yuhang Zhou8Jin Li9Wanjie Zhu10Department of Gastroenterology and Hepatology The Eighth Affiliated Hospital, Sun Yat‐sen University Shenzhen ChinaDepartment of Gastroenterology and Hepatology The Eighth Affiliated Hospital, Sun Yat‐sen University Shenzhen ChinaDepartment of Gastroenterology and Hepatology The Eighth Affiliated Hospital, Sun Yat‐sen University Shenzhen ChinaDepartment of Gastroenterology and Hepatology The Eighth Affiliated Hospital, Sun Yat‐sen University Shenzhen ChinaDepartment of Gastroenterology and Hepatology The Eighth Affiliated Hospital, Sun Yat‐sen University Shenzhen ChinaDepartment of Gastroenterology and Hepatology The Eighth Affiliated Hospital, Sun Yat‐sen University Shenzhen ChinaDepartment of Gastroenterology and Hepatology The Eighth Affiliated Hospital, Sun Yat‐sen University Shenzhen ChinaDepartment of Gastroenterology and Hepatology The Eighth Affiliated Hospital, Sun Yat‐sen University Shenzhen ChinaDepartment of Gastroenterology and Hepatology The Eighth Affiliated Hospital, Sun Yat‐sen University Shenzhen ChinaDepartment of Gastroenterology and Hepatology The Eighth Affiliated Hospital, Sun Yat‐sen University Shenzhen ChinaDepartment of Gastroenterology and Hepatology The Eighth Affiliated Hospital, Sun Yat‐sen University Shenzhen ChinaABSTRACT Introduction As a rare clinical entity within the non‐thrombotic ischemic colitis spectrum, idiopathic mesenteric phlebosclerotic colitis (IMPC) has been increasingly recognized to exhibit a pathogenic correlation with extended herbal medicine consumption. Case Presentation A 48‐year‐old female complained of abdominal pain for over 3 years was diagnosed IMPC and concurrent Entamoeba coli infection. The patient underwent non‐targeted pharmacotherapy, which yielded poor results. In this case, we introduced a non‐invasive diagnostic tool, gastrointestinal ultrasound (GIUS), to assist in the diagnosis. Additionally, we observed this patient developed opportunistic infections of the gastrointestinal tract, a phenomenon that appears to be associated with compromised immune function and reduced microbial defense capabilities. Conclusion Gastrointestinal ultrasound was introduced to assist in diagnosis of IMPC in this case. Currently, treatment options for severe IMPC are limited, highlighting the need for further research into its mechanisms and therapeutic approaches.https://doi.org/10.1002/jgh3.70217Chinese herbsgastrointestinal ultrasoundidiopathic mesenteric phlebosclerotic colitispurple gutvenous sclerosis |
| spellingShingle | Qianjiang Luo Xiaoshan Huang Zhong Zheng Luhong Zhu Mei Luo Wenxing Zhang Qinglian Zhong Jian Huang Yuhang Zhou Jin Li Wanjie Zhu Intestinal Ultrasound's New Target: Idiopathic Mesenteric Vein Sclerosing Enteritis JGH Open Chinese herbs gastrointestinal ultrasound idiopathic mesenteric phlebosclerotic colitis purple gut venous sclerosis |
| title | Intestinal Ultrasound's New Target: Idiopathic Mesenteric Vein Sclerosing Enteritis |
| title_full | Intestinal Ultrasound's New Target: Idiopathic Mesenteric Vein Sclerosing Enteritis |
| title_fullStr | Intestinal Ultrasound's New Target: Idiopathic Mesenteric Vein Sclerosing Enteritis |
| title_full_unstemmed | Intestinal Ultrasound's New Target: Idiopathic Mesenteric Vein Sclerosing Enteritis |
| title_short | Intestinal Ultrasound's New Target: Idiopathic Mesenteric Vein Sclerosing Enteritis |
| title_sort | intestinal ultrasound s new target idiopathic mesenteric vein sclerosing enteritis |
| topic | Chinese herbs gastrointestinal ultrasound idiopathic mesenteric phlebosclerotic colitis purple gut venous sclerosis |
| url | https://doi.org/10.1002/jgh3.70217 |
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