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[Peripheral arterial thromboembolism in Crohn's disease]
Isabel Ferrer1, Guillem Benavent, Guillermo Bastida
1Servicio de Gastroenterología, Hospital de Manises, Valencia, España. 26siser@terra.es
Peripheral arterial thrombosis is a rare complication of Inflammatory Bowel Disease (IBD). Early consideration and treatment with low-molecular-weight heparin (LMWH) and surgery are crucial for managing this serious vascular manifestation.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Internal Medicine
Background:
- Inflammatory Bowel Disease (IBD) commonly affects the gastrointestinal tract.
- IBD can present with extraintestinal manifestations, including venous and arterial vascular symptoms.
- Arterial vascular events are less frequent than venous events in IBD patients.
Observation:
- A 62-year-old male with Crohn's disease (CD) developed a retroperitoneal abscess.
- During hospitalization, he experienced peripheral arterial thromboembolism requiring emergency embolectomy.
- Vascular MRI identified a large thrombus in the descending aorta after initial anticoagulation with low-molecular-weight heparin (LMWH).
Findings:
- Peripheral arterial thrombosis is a rare but significant extraintestinal manifestation of IBD.
- The patient's aortic thrombus was successfully managed with surgery and extended anticoagulation.
- Low-molecular-weight heparin (LMWH) plays a role in both prophylactic and definitive treatment strategies.
Implications:
- Clinicians should maintain a high index of suspicion for arterial thrombosis in IBD patients.
- Prompt diagnosis and management involving anticoagulation and potentially surgery are vital.
- Understanding rare vascular complications of IBD is essential for comprehensive patient care.
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