title: Combined Arterial and Venous Thrombosis in Ulcerative Colitis- A Rare Vascular Manifestation.
abstract: Combined arterial and venous thrombosis in patients with ulcerative colitis is a rare extra vascular manifestation, which motivated the current report. Increased coagulability is a recognised feature of ulcerative colitis with frequency increasing during flares. We report the case of a 42-year-old lady who was a diagnosed case of ulcerative colitis, currently in remission. She presented with swelling followed by discolouration of left lower limb which later was diagnosed as deep venous thrombosis combined with femoral and popliteal artery thrombosis. This led to wet gangrene of the limb, sepsis, septic shock and death despite aggressive management with heparin infusion, ionotropes, and parenteral antibiotics therapy.
authors.affiliation: Senior Resident, Department of Medicine, Maulana Azad Medical College and Lok Nayak Hospital , New Delhi, India .
authors.forename: Harpreet
authors.initials: H
authors.lastname: Singh
authors.affiliation: Post Graduate Resident, Department of Medicine, Maulana Azad Medical College and Lok Nayak Hospital , New Delhi, India .
authors.forename: Pranav
authors.initials: P
authors.lastname: Ish
authors.affiliation: Director Professor, Department of Medicine, Maulana Azad Medical College and Lok Nayak Hospital , New Delhi, India .
authors.forename: Richa
authors.initials: R
authors.lastname: Dewan
authors.affiliation: Professor, Department of Medicine, Maulana Azad Medical College and Lok Nayak Hospital , New Delhi, India .
authors.forename: S
authors.initials: S
authors.lastname: Anuradha
authors.affiliation: Assistant Professor, Department of Medicine, Maulana Azad Medical College and Lok Nayak Hospital , New Delhi, India .
authors.forename: Sumeet
authors.initials: S
authors.lastname: Singla
keywords: Remission; Thromboembolic complications; Wet gangrene