From pulmonary embolism to IBD; Give tunnel vision up - Arti
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Inflammatory bowel disease (IBD) is a multisystem disorder with gastrointestinal tract involvement. This disease is usually characterized by specific features like chronic or nocturnal diarrhea, abdominal pain, weight loss, fever and rectal bleeding. This disease can correlate with systemic and extra-intestinal complications. Elevated thrombin–antithrombin complexes, prothrombin fragments, and D-dimer levels and their increases with disease activity are other evidence pointing toward the relation between inflammation and coagulation. These factors lead to higher risk of thromboembolic events in IBD patients compared to normal population. The incidence of systemic thromboembolic events in IBD ranges from 1%–7.7% and 39%–41% in clinical and postmortem studies, respectively. Similar to other patients, deep vein thrombosis (DVT) and/or pulmonary thromboembolism (PTE) are the most common thrombotic events. This report describes a unique case of pulmonary embolism as a first manifestation of inflammatory bowel disease...

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