Ulcerative colitis complicated with colonic necrosis, septic shock and venous thromboembolism: A case report

被引：0

作者：

Ming-Yu Zhu ^{[1
]}

Li-Qun Sun ^{[1
]}

机构：

[1] Critical Care Unit, the Second Affiliated Hospital of Nanjing Medical University

来源：

World Journal of Clinical Cases | 2019年 / 16期

关键词：

Ulcerative colitis; Total colonic necrosis; Venous thromboembolism; Sepsis; Septic shock; Case report;

D O I：

暂无

中图分类号：

R574.62 [结肠疾病];

学科分类号：

1002 ; 100201 ;

摘要：

BACKGROUND Severe total colonic necrosis, septic shock and venous thromboembolism secondary to ulcerative colitis(UC) are rare and life-threatening. No such severe complications have been reported in the literature.CASE SUMMARY We report a 36-year-old woman who developed total colonic necrosis and septic shock secondary to UC. The patient was treated with emergency surgery because computed tomography showed suspicious perforations. Persistent massive ascites occurred after operation and computed tomography angiography demonstrated portal vein, mesenteric vein and splenic vein thrombosis. The patient was discharged from hospital after active treatment.CONCLUSION Clinicians should pay attention to venous thrombosis, colonic necrosis and septic shock in UC patients. Close observation of surgical indications and timely surgical intervention are the key to reduce mortality and complications in UC.

引用

页码：2360 / 2366

页数：7

共 18 条

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