Abdominal pain in a patient with COVID-19 infection: A case of multiple thromboemboli

Mahan, Keenan M.; Kabrhel, Christopher; Goldsmith, Andrew J.

doi:10.1016/j.ajem.2020.05.054

Cited by 10 publications

(14 citation statements)

References 18 publications

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“…Acute abdominal and thoracic aortic thrombosis has also been described in patients with COVID-19 [ 27 , 37 , 40 , [43] , [44] , [45] , [46] ]. Similar to acute limb ischemia, this has been described in patients who are already receiving thromboprophylaxis [ 45 , 47 ].…”

Section: Discussionmentioning

confidence: 99%

Thrombotic complications of COVID-19

Avila

Long

Holladay

et al. 2021

The American Journal of Emergency Medicine

115

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Introduction The novel coronavirus disease of 2019 (COVID-19) is associated with significant morbidity and mortality. The impact of thrombotic complications has been increasingly recognized as an important component of this disease. Objective This narrative review summarizes the thrombotic complications associated with COVID-19 with an emphasis on information for Emergency Medicine clinicians. Discussion Thrombotic complications from COVID-19 are believed to be due to a hyperinflammatory response caused by the virus. Several complications have been described in the literature. These include acute limb ischemia, abdominal and thoracic aortic thrombosis, mesenteric ischemia, myocardial infarction, venous thromboembolism, acute cerebrovascular accident, and disseminated intravascular coagulation. Conclusion It is important for Emergency Medicine clinicians to be aware of the thrombotic complications of COVID-19. Knowledge of these components are essential to rapidly recognize and treat to reduce morbidity and mortality in these patients.

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Section: Discussionmentioning

confidence: 99%

Thrombotic complications of COVID-19

Avila

Long

Holladay

et al. 2021

The American Journal of Emergency Medicine

115

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“…I read with great interest the article titled “Abdominal pain in a patient with COVID-19 infection: A case of multiple thromboemboli” by Mahan et al [ 1 ] in The American Journal of Emergency Medicine. The authors reported an interesting novel coronavirus disease (COVID-19) case with venous and arterial thromboembolic disease.…”

mentioning

confidence: 99%

“…Firstly, the patient was reported to have no respiratory complaints, but her initial examination revealed tachypnea (34 respirations per minute), hypoxemia (pO2 87% on room air), tachycardia (112 beats/min) [ 1 ]. This seems to be contradictory.…”

mentioning

confidence: 99%

“…Secondly, the authors stated that chest computed tomography (CT) showed bilateral ground-glass opacities (GGO) consistent with COVID-19 [ 1 ]. As can be seen from the CT images, the areas of consolidation accompanying GGO with peripheral location are also clearly observed.…”

mentioning

confidence: 99%

“…Thirdly, the authors stated that chest CT angiography revealed a filling defect in the thoracic aorta consistent with thromboembolism [ 1 ]. However, the filling defect in the aorta on CT is compatible with the mural thrombus and it is usually associated with atherosclerosis [ 3 ].…”

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Multiple thromboemboli in Covid-19

Ufuk

2021

The American Journal of Emergency Medicine

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Abdominal imaging findings on computed tomography in patients acutely infected with SARS-CoV-2: what are the findings?

et al. 2021

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Objectives To investigate what findings are new on contrast-enhanced abdominopelvic CT in patients infected with SARS-CoV-2. Methods Contrast-enhanced CT of the abdomen and pelvis of patients with COVID-19 at a tertiary oncologic center acquired over a 2-month period were reviewed independently by two readers and scored for new imaging abnormalities compared with a prior scan. CT scans were included if the study was performed between − 3 and 45 days from the time of COVID-19 diagnosis. Clinical information was gathered from the medical records. Results A total of 63 patients (34 male, 29 female; mean age 60.6 years, range 24.4–85.0 years) were included in this retrospective cross-sectional study. Aside from new ground glass opacities seen at the lung bases (29/63, 46.0%), the most common findings were new thickening of the stomach, small bowel or colon or fluid-filled colon (14/63, 22.2%), new small volume ascites (7/63, 14.3%), gallbladder distention in those without prior cholecystectomy (3/43, 7.0%), and single cases each of acute pancreatitis (1/63, 1.6%) as well as new portal vein thrombosis (1/63, 1.6%). Conclusion Aside from lung base ground glass opacities, the most common new imaging abnormality on abdominopelvic CT in patients with COVID-19 finding in our cohort was abnormalities of the gastrointestinal tract, followed by small volume ascites, gallbladder distention, and isolated cases of pancreatitis and portal vein thrombosis. These findings overlap with those previously reported that did not have a prior scan for comparison, and provide supportive evidence that some of these findings may be related to SARS-CoV-2 infection.

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Abdominal pain in a patient with COVID-19 infection: A case of multiple thromboemboli

Cited by 10 publications

References 18 publications

Thrombotic complications of COVID-19

Thrombotic complications of COVID-19

Multiple thromboemboli in Covid-19

Abdominal imaging findings on computed tomography in patients acutely infected with SARS-CoV-2: what are the findings?

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