title: [A case of pulmonary thromboembolism in active ulcerative colitis].
abstract: Thromboembolic disease is a significant cause of morbidity and mortality in patients with inflammatory bowel disease. The reported incidence is 1-6%. The most common thromboembolic complications are deep venous thrombosis of legs and pulmonary thromboembolism. Cerebral thrombosis, portal vein thrombosis, retinal venous thrombosis and arterial thrombosis were also reported. We experienced a case of ulcerative colitis complicated with pulmonary thromboembolism. The patient was a 70-year-old woman who was diagnosed as ulcerative colitis on colonoscopy. We used prednisolone and sulfasalazine for the treatment of ulcerative colitis. Twenty five days later, she complained of abrupt dyspnea and chest pain. Chest CT and ventilation-perfusion scan revealed a thromboembolism in both lung. After the treatment of heparin & warfarin therapy, follow-up chest CT showed much regressed pulmonary thromboembolism. We report a 70-year-old woman with ulcerative colitis complicated with pulmonary thromboembolism and treated with heparin & warfarin therapy successfully.
authors.affiliation: Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
authors.forename: Jae Han
authors.initials: JH
authors.lastname: Park
authors.forename: Gueng Sung
authors.initials: GS
authors.lastname: Choi
authors.forename: Myoung Seok
authors.initials: MS
authors.lastname: Kim
authors.forename: Hyung Keun
authors.initials: HK
authors.lastname: Kim
authors.forename: Young Seok
authors.initials: YS
authors.lastname: Cho
authors.forename: Seong Hyun
authors.initials: SH
authors.lastname: Son
authors.forename: Chang Wook
authors.initials: CW
authors.lastname: Kim
authors.forename: Hiun Suk
authors.initials: HS
authors.lastname: Chae
authors.forename: Chang Don
authors.initials: CD
authors.lastname: Lee
authors.forename: Kyu Young
authors.initials: KY
authors.lastname: Choi
authors.forename: In Sik
authors.initials: IS
authors.lastname: Chung
mesh_terms: D000368:Aged; D003093:Colitis, Ulcerative / Q000150:complications*; D005260:Female; D006801:Humans; D011655:Pulmonary Embolism / Q000150:complications*