Ulcerative Colitis with Superior Sagittal Sinus Thrombosis: A Case Report

Abstract

Ulcerative colitis is a chronic inflammatory, idiopathic, condition of the mucosa of the colon. Cerebral venous thrombosis is one of the serious and rare complications of inflammatory bowel disease. We report a case of a 27-year-old female patient with complaints of loose stool 5 to 6 episodes per day mixed with blood for 10 days. The patient has severe per rectal bleed, not controlled despite adequate measures and a few days later developed altered sensorium and fits. This case highlights prompt diagnosis and early treatment managing both severe ulcerative colitis and sagittal venous thrombosis. Immediate recognition of her disease improved her condition drastically and increased her survival.

Keywords: case reports; inflammatory bowel diseases; ulcerative colitis.

Figure 1. MRI of the brain with MRV A) showing loss of normal blood flow in the entire superior sagittal sinus, B) acute thrombosis with venous infarction of bilateral frontal lobes.