Cargando…
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...
Autores principales: | , , , |
---|---|
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 |
_version_ | 1785047965330571264 |
---|---|
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. |
format | Online Article Text |
id | pubmed-10215026 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT arshadhassaan extensiveunprovokedthromboembolisminsteroiddependentulcerativecolitisacasereport AT abuabaamohammad extensiveunprovokedthromboembolisminsteroiddependentulcerativecolitisacasereport AT chadalawadasindhu extensiveunprovokedthromboembolisminsteroiddependentulcerativecolitisacasereport AT kananehsalman extensiveunprovokedthromboembolisminsteroiddependentulcerativecolitisacasereport |