Luo Qianjiang, Huang Xiaoshan, Zheng Zhong, Zhu Luhong, Luo Mei, Zhang Wenxing, Zhong Qinglian, Huang Jian, Zhou Yuhang, Li Jin, Zhu Wanjie
Department of Gastroenterology and Hepatology The Eighth Affiliated Hospital, Sun Yat-sen University Shenzhen China.
JGH Open. 2025 Jul 23;9(7):e70217. doi: 10.1002/jgh3.70217. eCollection 2025 Jul.
As a rare clinical entity within the non-thrombotic ischemic colitis spectrum, idiopathic mesenteric phlebosclerotic colitis (IMPC) has been increasingly recognized to exhibit a pathogenic correlation with extended herbal medicine consumption.
A 48-year-old female complained of abdominal pain for over 3 years was diagnosed IMPC and concurrent infection. The patient underwent non-targeted pharmacotherapy, which yielded poor results. In this case, we introduced a non-invasive diagnostic tool, gastrointestinal ultrasound (GIUS), to assist in the diagnosis. Additionally, we observed this patient developed opportunistic infections of the gastrointestinal tract, a phenomenon that appears to be associated with compromised immune function and reduced microbial defense capabilities.
Gastrointestinal ultrasound was introduced to assist in diagnosis of IMPC in this case. Currently, treatment options for severe IMPC are limited, highlighting the need for further research into its mechanisms and therapeutic approaches.
作为非血栓性缺血性结肠炎谱系中的一种罕见临床实体，特发性肠系膜静脉硬化性结肠炎（IMPC）越来越多地被认为与长期服用草药存在致病相关性。
一名48岁女性，腹痛3年多，被诊断为IMPC并伴有感染。患者接受了非针对性药物治疗，但效果不佳。在此病例中，我们引入了一种非侵入性诊断工具——胃肠超声（GIUS）来辅助诊断。此外，我们观察到该患者发生了胃肠道机会性感染，这种现象似乎与免疫功能受损和微生物防御能力降低有关。
在此病例中引入胃肠超声辅助IMPC的诊断。目前，重度IMPC的治疗选择有限，这凸显了对其发病机制和治疗方法进行进一步研究的必要性。
