2016 Volume 58 Issue 10 Pages 2169-2175
A 52-year-old woman was admitted to our hospital because of repeated episodes of abdominal pain and nausea. Colonoscopy revealed dark blue mucosa extending from the cecum to the descending colon, and abdominal computed tomography showed wall thickening and linear calcification along the wall from the cecum to the descending colon. Abdominal angiography showed vein insufficiency of the mesenteric vein. Based on these findings, the patient was given the diagnosis of idiopathic mesenteric phlebosclerosis. She had been a long-term user of a Chinese herbal product for menopausal disorder. We considered the etiology of the manifestation as vein insufficiency of the mesenteric vein ; therefore, we treated her with the combination therapy of warfarin and aspirin for a period of six years. Colonoscopy and abdominal computed tomography have shown prominent improvement. We feel that the combination therapy of warfarin and aspirin is effective for the treatment of idiopathic mesenteric phlebosclerosis.
