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Extensive Unprovoked Thromboembolism in Steroid-Dependent Ulcerative Colitis: A Case Report

The elevated risk of thromboembolism (TE) in association with inflammatory bowel disease (IBD) is well-established in literature. Herein, we present a case of a 70-year-old patient with steroid-dependent ulcerative colitis who presented with exertional dyspnea and abdominal pain. Investigations reve...

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Autores principales: Arshad, Hassaan, Abu-Abaa, Mohammad, Chadalawada, Sindhu, Kananeh, Salman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10215026/
https://www.ncbi.nlm.nih.gov/pubmed/37252478
http://dx.doi.org/10.7759/cureus.38148
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author Arshad, Hassaan
Abu-Abaa, Mohammad
Chadalawada, Sindhu
Kananeh, Salman
author_facet Arshad, Hassaan
Abu-Abaa, Mohammad
Chadalawada, Sindhu
Kananeh, Salman
author_sort Arshad, Hassaan
collection PubMed
description The elevated risk of thromboembolism (TE) in association with inflammatory bowel disease (IBD) is well-established in literature. Herein, we present a case of a 70-year-old patient with steroid-dependent ulcerative colitis who presented with exertional dyspnea and abdominal pain. Investigations revealed extensive bilateral iliac and renal and caval venous thrombosis as well as pulmonary emboli. In addition to the rarity of such a finding in this location, this case serves to remind clinicians of the elevated risk of TE in those with IBD, even among those with IBD that has been in remission, especially in those presenting with unexplained abdominal pain and/or renal injury. TE can be life-threatening and requires a high index of clinical suspicion to establish early diagnosis and prevent propagation.
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spelling pubmed-102150262023-05-27 Extensive Unprovoked Thromboembolism in Steroid-Dependent Ulcerative Colitis: A Case Report Arshad, Hassaan Abu-Abaa, Mohammad Chadalawada, Sindhu Kananeh, Salman Cureus Gastroenterology The elevated risk of thromboembolism (TE) in association with inflammatory bowel disease (IBD) is well-established in literature. Herein, we present a case of a 70-year-old patient with steroid-dependent ulcerative colitis who presented with exertional dyspnea and abdominal pain. Investigations revealed extensive bilateral iliac and renal and caval venous thrombosis as well as pulmonary emboli. In addition to the rarity of such a finding in this location, this case serves to remind clinicians of the elevated risk of TE in those with IBD, even among those with IBD that has been in remission, especially in those presenting with unexplained abdominal pain and/or renal injury. TE can be life-threatening and requires a high index of clinical suspicion to establish early diagnosis and prevent propagation. Cureus 2023-04-26 /pmc/articles/PMC10215026/ /pubmed/37252478 http://dx.doi.org/10.7759/cureus.38148 Text en Copyright © 2023, Arshad et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Gastroenterology
Arshad, Hassaan
Abu-Abaa, Mohammad
Chadalawada, Sindhu
Kananeh, Salman
Extensive Unprovoked Thromboembolism in Steroid-Dependent Ulcerative Colitis: A Case Report
title Extensive Unprovoked Thromboembolism in Steroid-Dependent Ulcerative Colitis: A Case Report
title_full Extensive Unprovoked Thromboembolism in Steroid-Dependent Ulcerative Colitis: A Case Report
title_fullStr Extensive Unprovoked Thromboembolism in Steroid-Dependent Ulcerative Colitis: A Case Report
title_full_unstemmed Extensive Unprovoked Thromboembolism in Steroid-Dependent Ulcerative Colitis: A Case Report
title_short Extensive Unprovoked Thromboembolism in Steroid-Dependent Ulcerative Colitis: A Case Report
title_sort extensive unprovoked thromboembolism in steroid-dependent ulcerative colitis: a case report
topic Gastroenterology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10215026/
https://www.ncbi.nlm.nih.gov/pubmed/37252478
http://dx.doi.org/10.7759/cureus.38148
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