A case of Covid-19 revealed by extensive portomesenteric thrombosis

Abstract

Covid-19 is an inflammatory disease primarily affecting the respiratory system, but can affect multiple organs causing multiple organ failure. Thrombosis is a major prognostic complication during SARS-Co-2 infection. We report the case of a young patient consulting for an acute febrile abdomen, whose abdominal CT scan showed extensive porto-mesenteric thrombosis. A systematic Covid-19 PCR test coming back positive. The assessment objectified a positive JAK2 mutation. This reflects the interest of broad screening for SARS-Cov-2 infection, by PCR test and initial imaging aimed at looking for thromboembolic disease, and of a comprehensive etiological approach. Keywords: SARS-Cov-2 infection, Thromboembolic disease, PCR Covid-19, systematic screening, Extensive thrombosis, mortality, JAK2.