Mujer de 67 años con síndrome constitucional e infiltrados cavitados en lóbulos superiores / No disponible

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[Bronchiectasis following colectomy in a patient with ulcerative colitis and factor V Leiden mutation]. / Bronquiectasias tras colectomía en paciente con colitis ulcerosa y mutación del factor V Leiden.

For some years it has been known that lung disease may be present in patients with inflammatory bowel disease (IBD). Diseases of the central airway, bronchi, and lung parenchyma are among the most common forms of lung involvement in IBD patients. Bronchiectasis is frequent and almost always appears after the onset of disease and in close association with inflammatory activity. However, reports of the appearance of bronchiectasis following colectomy for an exacerbation of IBD have been rare. We present the case of a 36-year-old man with severe ulcerative colitis who, following a total colectomy, developed bilateral bronchiectasis 12 months after surgery and for whom both preoperative and postoperative computed tomography scans were available.

Bronquiectasias tras colectomía en paciente con colitis ulcerosa y mutación del factor V Leiden / Bronchiectasis following colectomy in a patient with ulcerative colitis and factor V Leiden mutation

Desde hace años se sabe que los pacientes con enfermedad inflamatoria intestinal (EII) pueden presentar afectación pulmonar. De entre las formas de aparición, las más frecuentes incluyen la afectación de la vía aérea central, la afectación bronquial y la afectación del parénquima pulmonar. Las bronquiectasias son frecuentes en los pacientes con EII, casi siempre después del inicio de ésta y en muy íntima relación con la actividad inflamatoria de la EII. Sin embargo, los casos publicados sobre la aparición de bronquiectasias tras una colectomía por un brote de EII son excepcionales. Nosotros presentamos el caso de un varón de 36 años con una colitis ulcerosa grave que, tras una colectomía total, desarrolló un cuadro de bronquiectasias bilaterales a los 12 meses de la intervención, y en el que se dispone de tomografía axial computarizada antes y después de éstas

For some years it has been known that lung disease may be present in patients with inflammatory bowel disease (IBD). Diseases of the central airway, bronchi, and lung parenchyma are among the most common forms of lung involvement in IBD patients. Bronchiectasis is frequent and almost always appears after the onset of disease and in close association with inflammatory activity. However, reports of the appearance of bronchiectasis following colectomy for an exacerbation of IBD have been rare. We present the case of a 36-year-old man with severe ulcerative colitis who, following a total colectomy, developed bilateral bronchiectasis 12 months after surgery and for whom both preoperative and postoperative computed tomography scans were available