Case Report: Progressive acquired ileal mesenteric venous malformation after right hemicolectomy: serial imaging evolution leading to delayed gastrointestinal bleeding - Report - MDSpire

Case Report: Progressive acquired ileal mesenteric venous malformation after right hemicolectomy: serial imaging evolution leading to delayed gastrointestinal bleeding

  • By

  • Deqi Wu

  • Songyang Wu

  • Yao Luo

  • Jinyuan Yu

  • Zhenguang Chen

  • July 13, 2026

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Progressive Acquired Ileal Mesenteric Venous Malformation Following Right Hemicolectomy

Background

Mesenteric venous malformations are rare and can present years after abdominal surgery, complicating diagnosis and management. They may lead to significant gastrointestinal bleeding, which poses a challenge for clinicians.

Data Highlights

No numerical data or trial data presented in the article.

Key Findings

  • Acquired mesenteric venous malformations can develop years after intestinal surgery.
  • Imaging demonstrated progressive vascular changes consistent with postoperative remodeling.
  • Gastrointestinal bleeding is a common presentation of these malformations.
  • Exploratory surgery confirmed the presence of a localized venous plexus.
  • Targeted surgical intervention led to the resolution of bleeding.

Clinical Implications

Clinicians should consider acquired mesenteric venous malformations in patients with unexplained gastrointestinal bleeding following abdominal surgery. Early recognition through imaging can facilitate appropriate surgical management.

Conclusion

This case documents the development of mesenteric venous malformations in a postoperative patient presenting with gastrointestinal bleeding.

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  13. Mesenteric Venous Malformation With Subocclusive Symptoms: A Case Report - Amara - 2025 - Case Reports in Gastrointestinal Medicine - Wiley Online Library
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