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  • Title: Idiopathic myointimal hyperplasia of the mesenteric veins.
    Author: Al Ansari A, Ahmed S, Mansour E, Abass MA.
    Journal: J Surg Case Rep; 2021 Jan; 2021(1):rjaa453. PubMed ID: 33532048.
    Abstract:
    Idiopathic myointimal hyperplasia of the mesenteric veins (IMHMV) is caused by proliferation of smooth muscle cells in the wall of small mesenteric veins and venules with accumulation of a proteoglycan matrix leading to a non-thrombotic, non-inflammatory venous occlusion resulting in venous ischemia. IMHMV is a rare and poorly understood disease, with <20 case reports in the literature. The purpose of this report is to describe the case of a 63-year-old man who presented with this condition that resulted in colonic ischemia necessitating surgical resection. The cause of IMHMV in this patient was attributed to a Chinese herbal supplement used for degenerative osteoarthritis of the knees. A brief review of the literature is provided along with the case report.
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