特发性肠系膜静脉硬化1例:相关血管钙化的发病机制探讨

IF 2.3 Q2 MEDICINE, GENERAL & INTERNAL
Kimitoshi Kubo MD, PhD, Noriko Kimura MD, PhD
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引用次数: 0

摘要

一名75岁妇女服用含京尼皂苷的草药7年,因恶心、腹痛和腹胀入院。CT示结肠壁增厚,CS示深紫色水肿粘膜。此外,活检标本显示小静脉透明。因此,她被诊断为特发性肠系膜静脉硬化(IMP)并接受了手术。von Kossa染色显示粘膜、粘膜下、肌层和浆膜下均可见颗粒,肠系膜静脉可见钙沉积。综上所述,钙离子沉积可能是导致IMP血管壁钙化的原因。术后3个月,患者病程平稳。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

A case of idiopathic mesenteric phlebosclerosis: Insight into pathogenesis of associated vascular calcification

A case of idiopathic mesenteric phlebosclerosis: Insight into pathogenesis of associated vascular calcification

A 75-year-old woman had been taking a geniposide-containing herbal medicine for 7 years and was admitted to our hospital for nausea, abdominal pain, and distention. CT revealed colonic wall thickening, whereas CS revealed a dark-purple edematous mucosa. Furthermore, biopsy specimens revealed small vein hyalinization. Thus, she was diagnosed with idiopathic mesenteric phlebosclerosis (IMP) and underwent surgery. von Kossa staining revealed granules in the mucosal, submucosal, muscular, and subserosal layers, with mesenteric veins demonstrating calcium deposition. Taken together, calcium ion deposition was likely to have accounted for vascular wall calcification in IMP. The patient's course was uneventful for 3 months after surgery.

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来源期刊
Journal of General and Family Medicine
Journal of General and Family Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
2.10
自引率
6.20%
发文量
79
审稿时长
48 weeks
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