Case Report: Inflammatory Bowel Disease and Thrombosis

Area of Science:

• Internal Medicine
• Vascular Medicine
• Gastroenterology

Background:

• Inflammatory bowel disease (IBD) is a significant risk factor for venous thromboembolism (VTE).
• Hospitalized IBD patients often require peripherally inserted central catheters (PICCs) for treatment and monitoring.
• PICCs are associated with an increased risk of upper extremity deep vein thrombosis.

Observation:

• This case study analyzes two patients with IBD and PICCs who developed VTE.
• Detailed medical histories, symptomology, PICC insertion procedures, and VTE development events are examined.
• Acquired risk factors specific to IBD patients were reviewed and compared between the two cases.

Findings:

• Both patients presented with VTE despite PICC use, highlighting a critical complication.
• Individual risk factor profiles contributed to VTE development in the context of IBD and PICC insertion.
• The cases underscore the complex interplay between IBD, medical devices, and thrombotic events.

Implications:

• Healthcare providers must enhance VTE surveillance in IBD patients, particularly those with PICCs.
• Proactive VTE prevention strategies are crucial for this high-risk patient population.
• Further research into optimizing VTE prophylaxis in IBD patients with central venous access is warranted.