Abstract
Patients with ulcerative colitis are at increased risk for venous thrombosis. We report
herein the case of a 28-year-old woman who developed multiple intraabdominal venous
thrombosis, including partial Budd–Chiari syndrome in association with intracranial
venous thrombosis and pulmonary embolism during the relapse of a known ulcerative
colitis. Multidetector-row computed tomography (MDCT) allowed depiction of multiple
intraabdominal sites of thrombosis including right and medial hepatic veins, left
portal vein, splenic vein and left ovarian vein and demonstrated complete resolution
of the multiple thrombi after anticoagulant therapy. The association of partial Budd–Chiari
syndrome with other thrombi involving portal, splenic and ovarian veins in association
with ulcerative colitis, has, to our knowledge never been reported yet. In addition,
the potential role of MDCT in the detection of possible multiple thrombosis in patients
with ulcerative colitis has never been emphasized.
Keywords
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Article info
Publication history
Published online: May 14, 2010
Accepted:
March 10,
2010
Received:
January 14,
2010
Identification
Copyright
© 2011 Elsevier Inc. Published by Elsevier Inc. All rights reserved.