Intra-aortic mural thrombosis and splenic infarction in association with ulcerative colitis

Background Arterial thrombosis is a very rare, but recognised complication of inflammatory bowel disease that can result in significant morbidity and mortality. Case presentation We present the case of a 48-year-old female with previously well-controlled ulcerative colitis who presented with severe...

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Bibliographic Details
Published in:Irish journal of medical science 2012-09, Vol.181 (3), p.377-379
Main Authors: Kok, H. K., Maguire, S., Corr, A., Sadlier, M., Patchett, S., Harewood, G.
Format: Article
Language:English
Subjects:
Anticoagulants - therapeutic use
Aortic Diseases - complications
Aortic Diseases - diagnostic imaging
Aortic Diseases - drug therapy
Case Report
Colitis, Ulcerative - etiology
Family Medicine
Female
General Practice
Humans
Internal Medicine
Medicine
Medicine & Public Health
Middle Aged
Radiography
Splenic Infarction - complications
Splenic Infarction - diagnostic imaging
Splenic Infarction - drug therapy
Thrombosis - complications
Thrombosis - diagnostic imaging
Thrombosis - drug therapy
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Summary:Background Arterial thrombosis is a very rare, but recognised complication of inflammatory bowel disease that can result in significant morbidity and mortality. Case presentation We present the case of a 48-year-old female with previously well-controlled ulcerative colitis who presented with severe left upper quadrant abdominal pain. Imaging investigations subsequently revealed a large intra-aortic mural thrombus extending into the coeliac axis complicated by splenic infarction. This occurred in the absence of other prothrombotic states such as thrombophilias or vasculitis. Conclusion This case highlights the frequently overlooked association between inflammatory bowel disease and arterial thrombosis.
ISSN:0021-1265
1863-4362
DOI:10.1007/s11845-010-0472-8