Multiple intra-abdominal venous thrombosis in ulcerative colitis: role of MDCT for detection.
Patients with ulcerative colitis are at increased risk for venous thrombosis. We report herein the case of a 28-year-old woman who developed multiple intraabdominal venous thrombosis, including partial Budd-Chiari syndrome in association with intracranial venous thrombosis and pulmonary embolism during the relapse of a known ulcerative colitis. Multidetector-row computed tomography (MDCT) allowed depiction of multiple intraabdominal sites of thrombosis including right and medial hepatic veins, left portal vein, splenic vein and left ovarian vein and demonstrated complete resolution of the multiple thrombi after anticoagulant therapy. The association of partial Budd-Chiari syndrome with other thrombi involving portal, splenic and ovarian veins in association with ulcerative colitis, has, to our knowledge never been reported yet. In addition, the potential role of MDCT in the detection of possible multiple thrombosis in patients with ulcerative colitis has never been emphasized.
Department of Abdominal Imaging, Hôpital Lariboisière-APHP and Université Diderot-Paris 7, 2 rue Ambroise Paré, 75475 Paris cedex 10, France. arnaud.lefevre01@gmail.com
Arnaud
A
Lefèvre
Philippe
P
Soyer
Kouroche
K
Vahedi
Youcef
Y
Guerrache
Sylvia
S
Bellucci
Valérie
V
Gault
Mourad
M
Boudiaf
D000328:Adult; D003093:Colitis, Ulcerative / Q000150:complications* / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D011860:Radiography, Abdominal / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods*; D020246:Venous Thrombosis / Q000000981:diagnostic imaging* / Q000209:etiology*