Acute arterial thrombosis in anticoagulated patient for acute pulmonary thromboembolism

Author:

CHELIKIKJ Ana1ORCID,POPOSKA Lidija2ORCID,GRUEVA Elena2ORCID,KANDİC Elma2ORCID,BUSHLJETİKJ Oliver3ORCID,ZİMBAKOV Zhan2ORCID

Affiliation:

1. University Clinic of Cardiology Skopje

2. University Clinic of Cardiology - Skopje

3. oliverbusljetik@yahoo.com

Abstract

Acute limb ischemia is rare in patients with venous thromboembolism who already receive anticoagulation treatment. Inflammation is a risk factor for thrombus formation. Patients with active ulcerative colitis, especially at the time of exacerbation, are more prone to thromboembolism, both venous and arterial. The risk for thrombosis is 18% higher, with a higher risk of bleeding. To date, there is no contraindication to any anticoagulant drug in patients with ulcerative colitis. We represent a case of a 73 year - old woman with ulcerative colitis exacerbation, hospitalized initially for pulmonary thromboembolism, that developed acute arterial thrombosis when switched on a novel oral anticoagulant.

Publisher

Turkish Journal of Internal Medicine

Subject

General Medicine

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