Spontaneous retroperitoneal perforation of the ascending colon and portal vein thrombosis in a patient with ulcerative colitis
Authors:
Přemysl Falt 1
; J. Örhalmi 2; B. Kijonková 1; P. Fojtík 1
Authors place of work:
Centrum péče o zažívací trakt, Vítkovická nemocnice, a. s., Ostrava
1; Chirurgické oddělení, Vítkovická nemocnice, a. s., Ostrava
2
Published in the journal:
Gastroent Hepatol 2011; 65(5): 294-297
Category:
IBD: Case Report
Summary
The authors present the case report of a patient with severe corticodependent ulcerative colitis complicated by spontaneous retroperitoneal perforation of the non-dilated large intestine and portomesenteric thrombosis. Diagnosis was made by means of abdominal X-ray and contrast-enhanced CT scan. The patient was successfully treated with colectomy and short-term anticoagulant therapy.
Key words:
ulcerative colitis – retroperitoneal perforation – portal vein thrombosis
Zdroje
1. Novák J, Nedbal J, Mařatka Z et al. Akutní dilatace tračníku u nemocných s proktokolitidou. Ces Gastroenterol Vyz 1973; 27(1): 8–15.
2. Bortlík M, Lukáš M. Toxické megakolon. Cas Lek Cesk 2001; 140(20): 619–623.
3. Greenstein AJ, Barth JA, Sachar DB et al. Free colonic perforation without dilatation in ulcerative colitis. Am J Surg 1986; 152(3): 272–275.
4. Greenstein AJ, Aufses AH Jr. Differences in pathogenesis, incidence, and outcome of perforation in inflammatory bowel disease. Surg Gynecol Obstet 1985; 160(1): 63–69.
5. Miehsler W, Reinisch W, Valic E. Is inflammatory bowel disease an independent and disease-specific risk factor for thromboembolism? Gut 2004; 53(4): 542–548.
6. Hatoum OA, Spinelli KS, Abu-Hajir M et al. Mesenteric venous thrombosis in inflammatory bowel disease. J Clin Gastroenterol 2005; 39(1): 27–31.
7. Crowe A, Taffinder N, Layer GT et al. Portal vein thrombosis in a complicated case of Crohn´s disease. Postgrad Med J 1992; 68(798): 291–293.
8. Uchino M, Ikeuchi H, Bandoh T. A case of portal vein thrombosis in patient with ulcerative colitis. Nippon Shokakibyo Gakkai Zasshi 2011; 108(4): 627–632.
9. Palkovits J, Hafner M, Rand T et al. Portal vein thrombosis in ulcerative colitis complicated by bleeding from gastric varices. Inflamm Bowel Dis 2007; 13(3): 365.
10. Miyazaki Y, Shinomura Y, Kitamura S et al. Portal vein thrombosis associated with aktive ulcerative colitis: perutaneous transhepatic recanalisation. Am J Gastroenterol 1995; 90(9): 1533–1534.
11. Hagimoto T, Seo M, Okada M et al. Portal vein thrombosis successfully treated with colectomy in active ulcerative colitis. Dis Colon Rectum; 44(4): 587–590.
Štítky
Paediatric gastroenterology Gastroenterology and hepatology SurgeryČlánok vyšiel v časopise
Gastroenterology and Hepatology
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