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Updated: Sep 30, 2025

A Porcine Model of Acute Autologous Pulmonary Embolism
Published on: September 6, 2024
Bilateral Pulmonary Embolism in a Hospitalized Ulcerative Colitis Patient
Karen Medgyesy1, Jamie Horrigan2, Micheal Tadros1
1Gastroenterology and Hepatology, Albany Medical Center, Albany, USA.
Abstract:
Patients with inflammatory bowel disease (IBD) are at higher risk of venous thromboembolism (VTE), though physicians may be unaware of this risk or hesitant to start pharmacologic VTE prophylaxis in the presence of active gastrointestinal bleeding. We report a case of a 38-year-old patient hospitalized with acute severe ulcerative colitis (UC) who was not placed on pharmacologic VTE prophylaxis and developed bilateral pulmonary embolism (PE). The patient's UC did not respond to medical therapy. Due to his PE, the patient's total proctocolectomy was delayed six months. He also developed a large pelvic hematoma after colectomy requiring further surgical intervention. Hospitalized inflammatory bowel disease (IBD) patients require pharmacologic VTE prophylaxis unless they have life-threatening bleeding.
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