[A case of pulmonary thromboembolism in active ulcerative colitis].


Thromboembolic disease is a significant cause of morbidity and mortality in patients with inflammatory bowel disease. The reported incidence is 1-6%. The most common thromboembolic complications are deep venous thrombosis of legs and pulmonary thromboembolism. Cerebral thrombosis, portal vein thrombosis, retinal venous thrombosis and arterial thrombosis were also reported. We experienced a case of ulcerative colitis complicated with pulmonary thromboembolism. The patient was a 70-year-old woman who was diagnosed as ulcerative colitis on colonoscopy. We used prednisolone and sulfasalazine for the treatment of ulcerative colitis. Twenty five days later, she complained of abrupt dyspnea and chest pain. Chest CT and ventilation-perfusion scan revealed a thromboembolism in both lung. After the treatment of heparin & warfarin therapy, follow-up chest CT showed much regressed pulmonary thromboembolism. We report a 70-year-old woman with ulcerative colitis complicated with pulmonary thromboembolism and treated with heparin & warfarin therapy successfully.

Cite this paper

@article{Park2005ACO, title={[A case of pulmonary thromboembolism in active ulcerative colitis].}, author={Jae Han Park and Gueng Sung Choi and Myoung Seok Kim and Hyung Keun Kim and Young Seok Cho and Seong Hyun Son and Chang Wook Kim and Hiun Suk Chae and Chang Don Lee and Kyu Young Choi and In Sik Chung}, journal={The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi}, year={2005}, volume={53 1}, pages={48-52} }