Limb Loss Caused by Thrombosis led to the Diagnosis of Ulcerative Colitis

Arterial thrombosis associated with ulcerative colitis usuallyoccurs in the postoperative period with a good response to anticoagulanttherapy and embolectomy. Our patient was a 14-yearoldgirl with ulcerative colitis who presented with bilateral pulslessextremities, which did not respond to medical treatmentand embolectomy. Subsequent colectomy did not save herlimbs. The repeated thrombosis caused gangrene of extremitiesin the below knee region leading to bilateral amputation.Thrombosis can be the first presentation of ulcerative colitis.