Case Report
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 6, 2025; 13(25): 105028
Published online Sep 6, 2025. doi: 10.12998/wjcc.v13.i25.105028
Extensive idiopathic mesenteric phlebosclerosis presenting as intestinal pseudo-obstruction: A case report
Xiao-Lin Hou, Jie Chen, Mei-Hua Cui, Gui-Bin Yang
Xiao-Lin Hou, Mei-Hua Cui, Gui-Bin Yang, Department of Gastroenterology, Aerospace Center Hospital, Beijing 100049, China
Jie Chen, Department of Medical Imaging, Aerospace Center Hospital, Beijing 100049, China
Co-corresponding authors: Mei-Hua Cui and Gui-Bin Yang.
Author contributions: Hou XL wrote the original draft of the manuscript; Chen J helped analyze and interpret the imaging findings; Hou XL and Yang GB helped treat the patient and collect the clinical data; Cui MH and Yang GB were equally responsible for revising the manuscript and made equal contributions and as co-corresponding authors of this manuscript. All the authors approved the final version to be submitted.
Informed consent statement: The patient signed an informed consent form.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Mei-Hua Cui, Department of Gastroenterology, Aerospace Center Hospital, No. 15 Yuquan Road, Haidian District, Beijing 100049, China. cuimeih@sina.com
Received: February 7, 2025
Revised: April 20, 2025
Accepted: May 18, 2025
Published online: September 6, 2025
Processing time: 150 Days and 17 Hours
Core Tip

Core Tip: This case underscores the need for heightened awareness of idiopathic mesenteric phlebosclerosis as a differential diagnosis in patients presenting with symptoms of pseudoileus, particularly those with a history of long-term Chinese herbal medicine use. The characteristic features of colonoscopy and computed tomography scan can help in differential diagnosis when suspecting this disease.