Tennessee Medicine E-Journal


Thromboembolism (TE), especially arterial, is underestimated in patients with acute exacerbation of ulcerative colitis (UC). We report a case of stroke at the time of diagnosis of UC with a discussion of the potential mechanisms behind this event.

A 48-year-old male with body mass index (BMI) of 25.2 kg/m, whose only preventable risk factor is smoking, had never been diagnosed with Inflammatory Bowel Disease (IBD) and had no other comorbidities like diabetes mellitus, hypertension or dyslipidemia, presented with abdominal pain and bloody diarrhea. He was diagnosed with UC and developed an ischemic stroke nine days after cessation of daily aspirin, which he was taking prior to admission.

We hope this report will increase the awareness and understanding of this complication.