AORTIC THROMBOSIS – A SINGULAR MANIFESTATION OF CROHN DISEASE
Abstract
Aortic thrombosis (AT) is an unusual extraintestinal manifestation of Crohn’s disease (CD). We present a case of a male submitted to supracondylar amputation of the right lower limb due to irreversible acute ischemia. During the post-operative period, he developed signs of contralateral limb ischemia and performed complementary diagnostic tests which revealed a thrombus in the aortic bifurcation, a terminal ileum thickening, compatible with CD, and a polypoid lesion in the distal rectum. After patient staging and colorectal surgery, the complete resolution of AT was demonstrated.
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References
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2. Refinetti, P., Legay, L., Fontaine, JP. et al. (2019) Abdominal aortic occlusion due to acute thrombosis. Intern Emerg Med 14, 1003–1004
3. Santistevan JR. (2017) Acute Limb Ischemia: An Emergency Medicine Approach. Emerg Med Clin North Am;35(4):889-909.
4. Gajendran M, Loganathan P, Catinella AP, et al. (2018) A comprehensive review and update on Crohn's disease. Dis Mon. 64(2):20-57
5. Khan AB, Bhat N, Hassan A, et al. (2019) Aortic thrombosis complicating Crohn disease: an unusual complication. Can J Surg. 52(5):E182-4
6. Varino J, Rodrigues R, Pereira B, et al. (2019) Trombo aórtico mural [Aortic mural thrombus]. Rev Port Cir Cardiotorac Vasc. 26(1):19-26.
7. Novacek G, Haumer M, Schima W, et al. (2004) Aortic mural thrombi in patients with inflammatory bowel disease: report of two cases and review of the literature. Inflamm Bowel Dis.;10(4):430-5.
8. Qu C, Cao J, Liu K, et al. (2019) Crohn's Disease Complicated With Extensive Thrombosis of Limbs and Mesenteric Arteries: A Case Report and Literature Review. Ann Vasc Surg. 58:382.e15-382.e19
9. Zezos P, Kouklakis G, Saibil F. (2014) Inflammatory bowel disease and thromboembolism. World J Gastroenterol. 20(38):13863-78.
10. Quera R, Shanahan F. (2004) Thromboembolism--an important manifestation of inflammatory bowel disease. Am J Gastroenterol. 99: 1971-3.
11. Ullman TA, Itzkowitz SH. (2011) Intestinal inflammation and cancer. Gastroenterology. 140(6):1807-16.
12. Sonnenberg A, Genta RM. (2015) Low Prevalence of Colon Polyps in Chronic Inflammatory Conditions of the Colon. Am J Gastroenterol. 110(7):1056-61
13. Pezold M, Pergamo M, Rockman C, et al. (2020) Presentation and Management of Arterial Thromboembolisms during Active Inflammatory Bowel Disease: Case Series and Literature Review. Ann Vasc Surg. 67:532-541.e3.
14. Torres J, Mehandru S, Colombel JF, et al. (2017) Crohn's disease. Lancet. 389(10080):1741-55.
Published
2023-06-23
How to Cite
LOPES, Catarina et al.
AORTIC THROMBOSIS – A SINGULAR MANIFESTATION OF CROHN DISEASE.
Revista Portuguesa de Cirurgia, [S.l.], n. 55, p. 37-40, june 2023.
ISSN 2183-1165.
Available at: <https://revista.spcir.com/index.php/spcir/article/view/920>. Date accessed: 27 july 2024.
doi: https://doi.org/10.34635/rpc.920.
Issue
Section
Clinical Case
