A Case of Pulmonary Thromboembolism in Active Ulcerative Colitis.
- Author:
Byoung Do PARK
1
;
Hyung Gil KIM
;
Hyun Jung JUNG
;
Yong Jun CHOI
;
Sang Gu KIM
;
Soo Han KIM
;
Gye Sug KWON
;
Yong Woon SHIN
Author Information
1. Department of Internal Medicine, Inha University College of Medicine, Incheon, Korea. kimhg@inha.ac.kr
- Publication Type:Case Report ; English Abstract
- Keywords:
Ulcerative colitis;
Pulmonary thromboembolism
- MeSH:
Acute Disease;
Colitis, Ulcerative/complications/*diagnosis;
Colonoscopy;
Female;
Humans;
Middle Aged;
Pulmonary Embolism/*diagnosis/etiology/pathology;
Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology
2009;53(1):48-52
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Inflammatory bowel disease often involves extra-intestinal organs. Cerebral thrombosis, portal vein thrombosis and pulmonary thrombosis have been reported. Deep vein thrombosis and pulmonary thromboembolism are significant causes of mortality in patients with inflammatory bowel disease. A 48-year-old woman was diagnosed as inflammatory bowel disease on colonoscopy and histology. We used hydrocortisone and mesalazine for the treatment of disease. Nineteen days later, she complained of abrupt dyspnea. Pulmonary CT angiography revealed a thromboembolism in right pulmonary arteries. After the treatment of heparin therapy, follow-up pulmonary CT angiography showed significant improvement of previously thrombosed pulmonary arteries.
