A patient with idiopathic mesenteric phlebosclerosis treated with laparoscopy-assisted colectomy Koji KOINUMA 1 , Hisanaga HORIE 1 , Tetsuichiro SHIMIZU 1 , Hidetoshi KUMANO 1 , Yasuyuki MIYAKURA 1 , Yoshikazu YASUDA 1 1Department of Surgery, Jichi Medical University Keyword: 特発性腸間膜静脈硬化症 , 腹腔鏡手術 pp.73-78
Published Date 2013/1/15
DOI https://doi.org/10.11477/mf.4426100897
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A 73-year-old female visited her family doctor complaining of abdominal pain and discomfort. Diagnosis of paralytic ileus was made. She was referred to the department of gastroenterology in Jichi Medical University Hospital for further examination and was diagnosed as idiopathic mesenteric phlebosclerosis (IMP). She had a long history of taking Chinese herb medicines for hypertension and diabetes administered by her family doctor. Endoscopic findings showed the range of the disease extending to the left transverse colon, however, pathological findings of the biopsied specimens suggested the range of the disease extending up to the descending colon. Laparoscopy-assisted subtotal colectomy (from cecum to descending colon) was performed and pathological diagnosis of the resected margin was free of disease. Postoperative course was uneventful. This will be the first report of an IMP patient treated with laparoscopy-assisted colectomy.

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