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Budd-Chiari syndrome in a patient with ulcerative colitis and no inherited coagulopathy

World Journal of Hepatology 2011年第6期3卷 164-169页

作者： Sunil Dacha Manjari Devidi evan osmundson Department of Internal Medicine Saint Joseph Hospital2900 N.Lake Shore DriveChicagoIL 60657United States

We report a case of 27 year old female patient who was admitted to the hospital with an acute flare up of ulcerative *** patient presented with complaints of persistent abdominal pain and bloody diarrhea despite aggressive therapy for her ulcerative colitis.A CT scan of the abdomen on admission revealed hepatic vein thrombosis,suggesting a diagnosis of Budd-Chiari ***,an associated thrombosis of the inferior mesenteric vein was also *** on imaging data and clinical assessment,the patient was started on anticoagulation therapy and an extensive work-up for hypercoagulability was *** to the time of publication,no significant findings suggesting this patient has an underlying coagulation disorder have been *** on our search of PUBMED,this report is one of only five reported adult cases of Budd-Chiari Syndrome associated with ulcerative colitis in the English literature in living patients without evidence of a co-existing coagulation *** case highlights the potential for thrombosis at unusual sites in ulcerative colitis patients even in the absence of classical coagulation *** addition to the case presented,we provide a brief review of previously reported cases of Budd-Chiari Syndrome occurring in patients with inflammatory bowel disease.

关键词： Ulcerative colitis Inflammatory bowel disease Budd-Chiari syndrome Thrombosis Coagulopathy

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