Kanazawa Mimari, Sugaya Takeshi, Takahashi Fumiaki, Takenaka Kazuhiro, Tsuchida Kouhei, Tominaga Keiichi, Majima Yuichi, Iijima Makoto, Goda Kenichi, Irisawa Atsushi
Department of Gastroenterology, Dokkyo Medical University, Mibu, Japan.
Clin Med Insights Case Rep. 2020 Mar 18;13:1179547620912734. doi: 10.1177/1179547620912734. eCollection 2020.
A patient was diagnosed with ulcerative colitis (UC) in 2010. In March 2015, she had abdominal pain, diarrhea, bloody stool, and UC has relapsed. In June 2015, pain and sensory disturbance of both lower limbs appeared. Blood flow at the distal femoral artery was not confirmed with magnetic resonance angiography, and it was diagnosed as bilateral acute inferior limb ischemia. Arterial thrombolectomy with Fogarty's balloon catheter was performed and blood flow was improved. The severity of UC was moderate with Mayo score 8. Thrombosis is considered to be a complication with a high incidence in inflammatory bowel disease. Reports of arterial thrombosis are very rare. It is important to evaluate the risk of bleeding and thrombosis in active or severe cases in UC and need to do thrombotic prophylactic treatment simultaneously with UC treatment.
一名患者于2010年被诊断为溃疡性结肠炎（UC）。2015年3月，她出现腹痛、腹泻、便血，UC复发。2015年6月，出现双下肢疼痛和感觉障碍。磁共振血管造影未证实股动脉远端血流情况，诊断为双侧急性下肢缺血。采用Fogarty球囊导管进行动脉血栓切除术，血流得到改善。UC的严重程度为中度，Mayo评分为8分。血栓形成被认为是炎症性肠病中发生率较高的并发症。动脉血栓形成的报道非常罕见。评估UC活动期或重症病例的出血和血栓形成风险很重要，并且需要在UC治疗的同时进行血栓预防性治疗。
