DING Yongjie , SHI Guochao , CHENG Qijian , LI Min
  • Department of Respiratory Medicine, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine. Shanghai, 200025, China Corresponding Author: LI Min, E-mail: limin_4212@ 163. com;
Pulmonary embolism; Deep venous thrombosis of lower limbs; Mesenteric venous thrombosis; Inflammatory bowel disease
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Objective  To improve the knowledge of inflammatory bowel disease complicated with venous thromboembolism for better diagnosis and treatment.
Methods  One case of patient with ulcerative colitis complicated with a multiple vessel thromboembolism ( pulmonary arterial, deep vein of lower limb, and superior mesenteric vein) was analyzed, and related literatures were reviewed.
Results  The patient resulted in pulmonary thromboembolism ( PTE) recurrence because of irregular treatment. In addition to deep vein thrombosis of the lower extremity, a new discovery of the superior mesenteric vein embolism ( MVT) was diagnosed. The bleeding risk of heparin or lowmolecular weight heparin ( LMWH) for treatment is low, while that of warfarin is high.
Conclusions  Venous thromboembolism ( VTE) has a close relationship with inflammatory bowel disease ( IBD) such as ulcerative colitis. The symptomis not so typical that it is easy to misdiagnosis and missed diagnosis. It is noted that mesenteric venous thrombosis ( MVT) should be excluded in IBD patients suffering from VTE, if the source of embolus is not clear. Suitable treatment should be considered according to the risk stratification of VTE and risk-benefit ratio because of a high bleeding risk.

Citation： DING Yongjie,SHI Guochao,CHENG Qijian,LI Min. Ulcerative Colitis Complicating with Multiple Venous Thromboembolism: One Case Report and Literature Review. Chinese Journal of Respiratory and Critical Care Medicine, 2012, 11(3): 278-281. doi: Copy