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World J Gastroenterol. May 14, 2014; 20(18): 5561-5566
Published online May 14, 2014. doi: 10.3748/wjg.v20.i18.5561
Published online May 14, 2014. doi: 10.3748/wjg.v20.i18.5561
Idiopathic mesenteric phlebosclerosis associated with long-term use of medical liquor: Two case reports and literature review
Fang Guo, Yu-Fen Zhou, Fan Zhang, Yao-Zong Yuan, Wei-Yan Yao, Department of Gastroenterology, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
Fei Yuan, Department of Pathology, Department of Gastroenterology, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
Author contributions: Guo F, Zhou YF and Zhang F collected the data; Yuan F collected pathological materials; Guo F wrote the paper; Yuan YZ and Yao WY proofread the paper.
Correspondence to: Wei-Yan Yao, MD, PhD, Department of Gastroenterology, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Rui Jin 2nd Road, Shanghai 200025, China. yaowymail@sina.com
Telephone: +86-21-64370045 Fax: +86-21-64150773
Received: November 16, 2013
Revised: February 27, 2014
Accepted: March 6, 2014
Published online: May 14, 2014
Processing time: 179 Days and 2.9 Hours
Revised: February 27, 2014
Accepted: March 6, 2014
Published online: May 14, 2014
Processing time: 179 Days and 2.9 Hours
Core Tip
Core tip: The clinical data of two idiopathic mesenteric phlebosclerosis (IMP) patients in our hospital were collected. Both patients presented with recurrent ileus and displayed typical imaging characteristics such as dark purple mucosa on endoscopy and calcifications in mesenteric veins on computed tomography enterography. Both patients confirmed long-term use of Chinese medical liquor. After discontinuing the product, the first patient received conservative treatment, while the second underwent surgery. To date, both patients remain healthy. Following a literature review, a further 50 cases of IMP were analyzed, and it was concluded that the use of Chinese medicines may play a role in the pathogenesis of IMP.