Intra-aortic mural thrombosis and splenic infarction in association with ulcerative colitis.

BACKGROUND

Arterial thrombosis is a very rare, but recognised complication of inflammatory bowel disease that can result in significant morbidity and mortality.

CASE PRESENTATION

We present the case of a 48-year-old female with previously well-controlled ulcerative colitis who presented with severe left upper quadrant abdominal pain. Imaging investigations subsequently revealed a large intra-aortic mural thrombus extending into the coeliac axis complicated by splenic infarction. This occurred in the absence of other prothrombotic states such as thrombophilias or vasculitis.

CONCLUSION

This case highlights the frequently overlooked association between inflammatory bowel disease and arterial thrombosis.