Abstract
A 28-year-old woman with a 15-year history of Crohn's disease was admitted to the hospital because of severe stenosis of the transverse colon and an abscess of the abdominal cavity. Ultrasound cardiography demonstrated thrombus with apex of CV port in the right atrium and severe pulmonary hypertension. Additionally, pulmonary thromboembolism was demonstrated by chest CT scan and RI schintigraphy. She was diagnosed as having Crohn's disease with ASA classification IV. After an anticoagulant therapy for 3 weeks, she was performed subtotal colectomy and ileostomy under the preparation of percutaneous cardiac pulmonary system. She had an uneventful postoperative course with no remarkable complications and went back to her works 3 months after the operation. The anticoagulant therapy was maintained after the operation and a chest CT scan taken on the 1st postoperative year showed disappearance of thrombus.
The patient having inflammatory bowel disease with thrombus associated with CV port in the right atrium or pulmonary thromboembolism is so rare. Thromboembolism is a critical complication and strongly influential factor at the selection of treatments for Crohn's disease.
