[A case of pulmonary thromboembolism in active ulcerative colitis].
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.
Park
Jae Han
JH
Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
Choi
Gueng Sung
GS
Kim
Myoung Seok
MS
Kim
Hyung Keun
HK
Cho
Young Seok
YS
Son
Seong Hyun
SH
Kim
Chang Wook
CW
Chae
Hiun Suk
HS
Lee
Chang Don
CD
Choi
Kyu Young
KY
Chung
In Sik
IS
D000368:Aged; D003093:Colitis, Ulcerative / Q000150:complications*; D005260:Female; D006801:Humans; D011655:Pulmonary Embolism / Q000150:complications*