Acute mesenteric thrombosis in two patients with COVID-19. Two cases report and literature review
Date
2020Author
Rodriguez-Nakamura, Reiko M.
Gonzalez-Calatayud, Mariel
Martinez Martinez, Antonio Ramiro
Metadata
Show full item recordAbstract
Introduction
The coronavirus disease 2019 (COVID-19) affects mainly the respiratory system, other
organs may be involved, usually due to coagulation disturbances that lead to a high rate of
thrombotic complications.
Case presentation
The first patient is 45 years-old who has been exposed to SARS CoV-2. Upon
admission due to acute abdomen evidence surgery is performed in which an
intestinal resection with an adequate post-surgical evolution takes place so the
patient is discharged after 4 days with a prescription for oral anticoagulants. The second one is 42 years-old and has comorbidities. The patient is admitted upon
evidence of COVID-19, after showing signs of vein mesenteric ischemia in a CT scan
surgery is performed, however the patient dies 24 hours after the intervention.
Discussion
Within severe cases of patients with COVID-19 the incidence of a symptomatology
or gastrointestinal complications is high (39- 73.8%). Thromboprophylaxis is
recommended to all patients admitted for COVID-19, starting with heparin of low
molecular weight as prophylaxis, as well as continuing with oral anticoagulants after
being discharged.
Conclusion
Despite the fact that knowledge of the disease is rapidly advancing, all available
treatments are still nonspecific to SARS-CoV-2 and the optimal management of
COVID-19 remains unclear. An unexplained clinical picture should raise the
suspicion for rare conditions such as mesenteric thrombosis. Adequate prophylactic
measures should be implemented both during hospitalization and after discharge.
Palabras clave
COVID-19; SARS-CoV-2; Mesenteric ischemia; ThrombosisLink to resource
https://doi.org/10.1016/j.ijscr.2020.10.040Collections
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