[A case of renal vein thrombosis in a patient with ulcerative colitis].
Venous thrombosis and thromboembolism appear to occur more often in patient with inflammatory bowel disease (IBD). The cause of thrombotic complications in IBD is generally considered to be associated with hypercoagulable conditions. Its prevalence rate ranges from 1% to 8% in clinical studies and rises to 39% in autopsy, but the renal vein thrombosis is very rare complication in ulcerative colitis patient. A 24-year-old man presented with intermittent abdominal pain and hematochezia for 6 months and recently developed pitting edema for few weeks. He was diagnosed as severe ulcerative colitis involving whole colon combined with thrombosis in both renal veins by colonoscopy and computed tomography scan of abdomen. We used steroid for the treatment of ulcerative colitis and both intravenous lower molecular weight heparin and warfarin for renal vein thrombosis. His symptoms were improved after treatment and maintained with mesalazine and warfarin. Follow-up abdominal CT scan showed complete resolution of both renal vein thrombosis. Currently he has been followed up for 2 years with oral mesalazine.
Department of Internal Medicine, Eulji University College of Medicine, Seoul, Korea.
Dong Jin
DJ
Yang
Young Sook
YS
Park
Yeon Hwa
YH
Yu
Yun Ju
YJ
Jo
Seong Hwan
SH
Kim
Yoon Young
YY
Jung
Young Hwan
YH
Hwang
Dae Won
DW
Jun
D000925:Anticoagulants / Q000627:therapeutic use; D003093:Colitis, Ulcerative / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D003113:Colonoscopy; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D008297:Male; D017293:Protein S / Q000378:metabolism; D012082:Renal Veins; D014057:Tomography, X-Ray Computed; D020246:Venous Thrombosis / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D014859:Warfarin / Q000627:therapeutic use; D055815:Young Adult
D000925:Anticoagulants; D017293:Protein S; D014859:Warfarin; D006493:Heparin