title: Aortoiliac thrombi in inflammatory bowel disease.
abstract: Isolated arterial thrombi complicating inflammatory bowel disease occurs rarely. We encountered a case of a 28-year-old man with Crohn disease who presented with abdominal pain and severe claudication and was found to have an isolated aortoiliac thrombus. Bilateral aortoiliac thromboembolectomies were performed with successful restoration of femoral blood flow. Long-term anticoagulation therapy was instituted after an extensive hypercoagulable workup, which failed to reveal an etiology for the patient's coagulopathy. We present our case and perform an extensive literature review on this topic.
authors.affiliation: Division of Vascular and Endovascular Surgery, Staten Island University Hospital, Staten Island, NY 10305, USA. Kuldeep_Singh@siuh.edu
authors.forename: Kuldeep
authors.initials: K
authors.lastname: Singh
authors.forename: Sean A
authors.initials: SA
authors.lastname: Marco
authors.forename: Ming-Li
authors.initials: ML
authors.lastname: Wang
authors.forename: Luca
authors.initials: L
authors.lastname: Milone
authors.forename: Jonathan S
authors.initials: JS
authors.lastname: Deitch
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D003424:Crohn Disease / Q000150:complications* / Q000628:therapy; D017128:Embolectomy; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000601:surgery; D007383:Intermittent Claudication / Q000209:etiology; D008297:Male; D008875:Middle Aged; D017131:Thrombectomy; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000925:Anticoagulants