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Segmental colitis can be caused by intestinal ischaemia, resulting from venous or arterial vascular aetiologies. Here, histopathological work-up confirmed our hypothesis of mesenteric–inflammatory veno-occlusive disease (MIVOD), characterised by predominantly lymphocytic inflammation, thrombosis, fibrinoid necrosis, obliteration and often myointimal hyperplasia of the mesenteric veins. Arteries are spared, by definition.1 Although few cases were associated with hypercoagulation syndromes or systemic …

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