A case of ulcerative colitis presenting with cerebral venous thrombosis

Lee, Jung-Hwan; Hwang, Sung Wook; Lee, Jin‐Hee; Jung, Kyung Hwa; Kim, Ha Il; Park, Sang Hyoung; Yang, Dan; Ye, Byong Duk; Myung, Seung‐Jae; Yang, Suk‐Kyun

doi:10.5217/ir.2018.16.2.306

Cited by 5 publications

(5 citation statements)

References 21 publications

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“…While any of the dural or cerebral veins could be affected and may even have multiple venous thromboses, the commonest reported in literature as in our patients is sagittal sinus thrombosis . It is also recommended that patients undergo investigations for other co‐existent prothrombotic conditions and also minimise additional risks such as oral contraceptive pills but we did not identify any additional predisposition in our two patients.…”

Section: Discussionmentioning

confidence: 65%

Cerebral venous thrombosis as presenting manifestation of inflammatory bowel disease (IBD)

et al. 2019

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Background: Venous thrombosis is an important complication in patients with inflammatory bowel disease (IBD) and has multifactorial origin mainly related to haemostatic changes in the presence of active inflammation. In addition, number of coagulation abnormalities may co-exist in active IBD many of which return to normal once inflammatory process is controlled. Cerebral venous thrombosis (CVT) is a very rare but potentially serious extra-intestinal feature in IBD Aim: To describe 2 cases of CVT associated with IBD and review the literature. Materials and methods:Records of 2 patients presenting to our unit with CVT and diagnosed to have IBD were reviewed. The clinical, laboratory, endoscopic and imaging data reviewed. We did a comprehensive literature Pubmed search using the search terms inflammatory bowel disease, colitis and venous thrombosis. Results:We report 2 cases with CVT from UC as a presenting manifestation. Both patients required biologics to control the severe colitis and one had some residual deficits in neurological function. In both patients, cerebral imaging improved on follow up Conclusions: Due to the rarity and variability in presentation, CVT as a presenting manifestation of IBD may be overlooked in emergency departments. Prompt diagnosis, initiation of anticoagulation and control of the pro-coagulant state with treatment of colitis can lead to optimal recovery.

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Section: Discussionmentioning

confidence: 65%

Cerebral venous thrombosis as presenting manifestation of inflammatory bowel disease (IBD)

et al. 2019

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“…Cerebral venous thrombosis (CVT) is a rare complication of IBD and is noted be more common in ulcerative colitis than Crohn disease and is more common during fare ups of disease. 5,6 A flare up of systemic inflammatory response and presence of anemia significantly increase the risk of CVT. 6,7 CVT can present in myriad ways and the rare nature of this diagnosis further decreases the odds of early and correct diagnosis.…”

Section: Discussionmentioning

confidence: 99%

“…5,6 A flare up of systemic inflammatory response and presence of anemia significantly increase the risk of CVT. 6,7 CVT can present in myriad ways and the rare nature of this diagnosis further decreases the odds of early and correct diagnosis. But an awareness of the possibility of this diagnosis among physicians can greatly help the patient.…”

Section: Discussionmentioning

confidence: 99%

A case of ulcerative colitis presenting with cerebral venous thrombosis

Waqar

2022

PJNS

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Ulcerative Colitis is an autoimmune Inflammatory Bowel Disease causing abdominal pain, bloody diarrhea and malnutrition and is associated with Intestinal and extra intestinal complications. The clinical course has remissions and flare ups. Thromboembolism is known risk associated with Ulcerative colitis. Here we present a case of a young man who presented with a flare up of ulcerative colitis and developed neurological deficits that were diagnosed as due to cerebral venous thrombosis. Cerebral venous thrombosis is rare complications rare complication of ulcerative colitis and maybe missed without proper work up and consideration of diagnosis.

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“…Ulcerative colitis (UC) has been implicated as a risk factor for ATE and VTE. [9][10][11][12][13][14][15] Specifically, patients have a 3fold increased risk of deep vein thrombosis (DVT) and pulmonary embolism (PE) compared to the general population. 15 There are a number of case reports describing spontaneous thromboembolism in the upper extremity in the setting of UC.…”

Section: Effects Of Ulcerative Colitis and Inflammatory Conditions On...mentioning

confidence: 99%

Digit Necrosis After Hand Surgery in Pregnancy: A Case Report

Ziolkowski

Dengler

Goldberg

2021

Plastic Surgery Case Studies

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Digital blocks are routinely used for excision of lesions. We describe a unique presentation of digit necrosis after excisional biopsy with digital block and finger tourniquet in a pregnant patient with a history of ulcerative colitis. The patient had a history of a long-standing painful dorsal PIP joint mass and was scheduled for excision under local anaesthetic. On the day of the procedure, she disclosed that she was pregnant in the second trimester. After extensive discussion of risks and benefits between the patient and the surgeon, the decision was made to proceed with an excisional biopsy of the lesion because of its impact on her quality of life. Twelve hours after the procedure, she presented to the emergency department with blistering and severe pain to the digit. Doppler ultrasound showed flow through both digital arteries and the digit appeared viable. Over the coming days her pain continued to worsen and on post-operative day 3, she was admitted to hospital for attempted salvage of the digit using conservative methods. Her digit went on to demarcate at the level of the middle phalanx. Five weeks after her initial procedure, the patient underwent partial amputation of the small finger at the level of the DIP joint and 2-stage groin flap for soft tissue coverage. We discuss the effects of pregnancy and ulcerative colitis on thromboembolic events, and review the literature on digital blocks, digital tourniquet use and management of early digit necrosis. This case highlights the importance of delaying elective hand procedures in pregnant patients, especially if they have additional comorbidities such as pro-thrombotic diseases like inflammatory bowel disease.

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A case of ulcerative colitis presenting with cerebral venous thrombosis

Cited by 5 publications

References 21 publications

Cerebral venous thrombosis as presenting manifestation of inflammatory bowel disease (IBD)

Cerebral venous thrombosis as presenting manifestation of inflammatory bowel disease (IBD)

A case of ulcerative colitis presenting with cerebral venous thrombosis

Digit Necrosis After Hand Surgery in Pregnancy: A Case Report

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