Central Venous Sinus Thrombosis in a Boy With Acute Severe Ulcerative Colitis

Abstract

Cerebral venous sinus thrombosis (CVST) in childhood is uncommon. Certain diseases predispose patients to CVST, such as inflammatory bowel disease (IBD), which is considered a risk factor for developing thrombosis, which in turn is considered an extraintestinal manifestation of IBD. The use of prophylaxis in certain patients is a controversial topic. We present the case of a 5-years-old child with ulcerative colitis, who presented with transverse sinus thrombosis immediately after colectomy. Considering the recent recommendations on prophylaxis in this disease, our patient and probably many others would benefit from establishing treatment with low-molecular-weight heparin. We believe that these recommendations should be known, with our case serving as an example, given that we are heading in a direction that has so far been controversial.

Central venous sinus thrombosis in a young girl with ulcerative colitis

“…A case of CVST was also reported in a 5-year-old boy with UC 8. He was in the perioperative period following a colectomy which places patients at higher risk of TE.…”

Ulcerative Colitis with Superior Sagittal Sinus Thrombosis: A Case Report

“…According to a study MRI and MRV with or without contrast is the gold standard measure for diagnosing sinus thrombosis. 8 …”

Successful management of dural venous sinus thrombosis secondary to ulcerative colitis in a pediatric patient: A case report

“…Martín-Masot et al. reported a transverse sinus thrombosis in a 5-year-old boy with ulcerative colitis following colectomy hence highlighting the importance of thrombosis prophylaxis especially in the postoperative period [36] . Ashrafi et al.…”