A CASE OF IDIOPATHIC MESENTERIC PHLEBOSCLEROSIS REQUIRING INTESTINAL RESECTION BECAUSE OF REPEATED BLEEDING IN A PATIENT UNDERGOING LONG-TERM HEMODIALYSIS

Abstract

A 64-year-old woman with chronic renal failure had had hemodialysis for 25 years. Within a 1-year period, she developed 3 episodes of active bleeding from the right colon. A right-hemicolectomy was performed because the ischemic change seen on the colonic mucosa was persistent and endoscopic therapies could not control the bleeding. The histological findings revealed marked submucosal fibrosis and mesenteric phlebosclerosis was diagnosed. The patient's postoperative course was uneventful during one year of follow-up. We report herein on this interesting case of idiopathic mesenteric phlebosclerosis with repeated bleeding in a patient with chronic renal failure who was on long-term hemodialysis.