Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Table of Contents - Year : 2016 | Month : April | Volume : 10 | Issue : 4 | Page : OD12 - OD13

Combined Arterial and Venous Thrombosis in Ulcerative Colitis- A Rare Vascular Manifestation OD12-OD13

Harpreet Singh, Pranav Ish, Richa Dewan, S Anuradha, Sumeet Singla

Dr. Pranav Ish,
B1, 1st Floor, Green Park Extension, New Delhi -110016, India.

Combined arterial and venous thrombosis in patients with ulcerative colitis is a rare extra vascular manifestation, which motivated the current report. Increased coagulability is a recognised feature of ulcerative colitis with frequency increasing during flares. We report the case of a 42-year-old lady who was a diagnosed case of ulcerative colitis, currently in remission. She presented with swelling followed by discolouration of left lower limb which later was diagnosed as deep venous thrombosis combined with femoral and popliteal artery thrombosis. This led to wet gangrene of the limb, sepsis, septic shock and death despite aggressive management with heparin infusion, ionotropes, and parenteral antibiotics therapy.