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Unusual mesenteric fibromuscular dysplasia– a rare cause for chronic intestinal ischaemia
  1. R Chaturvedi,
  2. P Vaideeswar,
  3. A Joshi,
  4. S Pandit
  1. Department of Pathology, Seth G S Medical College, Mumbai, India
  1. Dr Pradeep Vaideeswar, Department of Pathology, Seth G S Medical College, Parel, Mumbai 400 012, India; shreeprajai{at}yahoo.co.in

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Fibromuscular dysplasia (FMD) was a term introduced by McCormack et al1 to describe a rare non-atherosclerotic, non-inflammatory segmental occlusive disorder of medium-sized vessel arteries.2 The FMD may be intimal, medial or periarterial, depending on the site of fibro-muscular proliferation.2 Mesenteric arteries are uncommonly affected. Herein, we report an unusual petal-like FMD of mesenteric arteries produced by adventitial and periadventitial smooth muscle proliferation with an additional venous involvement.

CASE HISTORY

An elderly patient, a non-smoker, presented with a 4-day history of abdominal pain, distension and constipation. Anti-tuberculous therapy …

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