IMHMVIdiopathic myointimal hyperplasia of the mesenteric veins
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In terms of treatment, patients diagnosed with IMHMV have often endured multiple rounds of failed medical therapy for IBD, leading to surgical resection of the diseased bowel.
To our knowledge, this is the first case of IMHMV with involvement of the neoterminal ileum to sigmoid colon in a patient with a long-standing clinicopathologic history of Crohn's disease.
The etiology of IMHMV is unknown and pathophysiology remains speculative.