Korean J Pediatr Gastroenterol Nutr.  2009 Sep;12(2):235-239.

A Case of Hepatic Vein Thrombosis Associated with Ulcerative Colitis

• Kim JS
• Kim KM

Abstract

Patients with inflammatory bowel disease are known to have hypercoagulability and an increased risk for venous thromboembolism. The deep veins of the lower extremities and the pulmonary veins are the most common sites of thrombosis in ulcerative colitis. However, hepatic vein thrombosis (Budd-Chiari syndrome) is a very rare extra-intestinal complication of ulcerative colitis in children. We describe a case of hepatic vein thrombosis in a 15-year-old girl with ulcerative colitis who presented with abdominal pain and hematochezia. Doppler ultrasonography and an abdominal CT scan revealed the characteristic filling defects caused by large thrombi in both hepatic veins. These lesions were successfully treated with conventional management for ulcerative colitis and anticoagulation therapy.

Keyword

Ulcerative colitis; Budd-Chiari syndrome; Vein thrombosis; Child

MeSH Terms

Abdominal Pain
Adolescent
Budd-Chiari Syndrome
Child
Colitis, Ulcerative
Gastrointestinal Hemorrhage
Hepatic Veins
Humans
Inflammatory Bowel Diseases
Lower Extremity
Pulmonary Veins
Thrombophilia
Thrombosis
Ulcer
Ultrasonography, Doppler
Veins
Venous Thromboembolism