Acute Mesenteric Ischemia in a Patient with COVID-19: A Case Report

Sehhat, Siavoush; Talebzadeh, Hamid; Hakamifard, Atousa; Melali, Hamid; Shabib, Somayeh; Rahmati, Alireza; Larki‐Harchegani, Amir

doi:10.34172/aim.2020.77

Cited by 10 publications

(3 citation statements)

References 7 publications

(10 reference statements)

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“…All inflammatory markers increased significantly in the patient [8]. Sehhat et al described a 77-year-old patient and showed that impaired blood flow to the visceral-vascular system could cause life-threatening AMI [9]. Besides, Rashid et al [10], Faridi et al [11], Sevella et al [12], and Shahid et al [13] also confirmed these findings.…”

Section: Discussionmentioning

confidence: 81%

Acute Mesenteric Ischemia in a COVID-19 Patient: Delay in Referral and Recommendation for Surgery

Bagheripour

Zakeri

2021

Case Reports in Gastrointestinal Medicine

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Coronavirus (COVID-19) is more common with symptoms such as fever, dry cough, and shortness of breath. However, it may be associated with COVID-19-induced gastrointestinal (GI) symptoms including acute mesenteric ischemia (AMI). These conditions make the diagnosis of AMI challenging. Timely referral with correct diagnosis and attention to the uncommon symptoms of COVID-19 can play an important role in the management and treatment of AMI in COVID-19 patients. We present a patient with AMI due to thrombotic complications of COVID-19, who referred to the hospital too late and ignored the recommendation for abdominal surgery.

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Section: Discussionmentioning

confidence: 81%

Acute Mesenteric Ischemia in a COVID-19 Patient: Delay in Referral and Recommendation for Surgery

Bagheripour

Zakeri

2021

Case Reports in Gastrointestinal Medicine

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“…Virus high contagious nature and worldwide spread forced the world health organization (WHO) to declare it a pandemic in March 2020. Although fever, dry cough, dyspnea, and myalgia are the most common signs and symptoms of the disease, other clinical manifestations like the cerebral, peripheral limb, and intestinal thrombosis have been reported, which are associated with the disease severity and poor outcomes (1,2).…”

Section: Introductionmentioning

confidence: 99%

Colonic and Rectum Infarction in the Covid19 Pandemic: A Case Series from an Uncommon Event

2022

ircmj

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Background: By the end of May 2021, 170 million cases and 3.54 million death from Covid-19 infection have been reported. The high affinity of virus particles to ACE-2 receptors in different body organs can cause varied clinical manifestations and complications. Ischemic colitis and necrosis are some rare complications of Covid-19 infection with high morbidity and mortality resulting from colonic hypoperfusion. Different underlying mechanisms for ischemic colitis in Covid-19 patients have been described, including hypercoagulable state, inflammatory responses, microthrombosis, and non-occlusive intestinal ischemia due to shock, hypoxemia, and low cardiac output. Case Presentation: here, we presented three patients with ischemic colitis and one rectal necrosis as a rare presentation of gastrointestinal complication of SARS-CoV-2 infection. All of our patients presented with abdominal pain and tenderness and received a standard regimen of antibiotics, anticoagulation, and ventilation support. Conclusion: Ischemic colitis is one of these rare but with high mortality manifestations, which presents with non-specific signs and symptoms. Hence, ischemic colitis should be kept in mind in patients with Covid-19 infection and abdominal pain, which necessitates further evaluations.

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“…5,6 Recent evidence also suggests an increasing number of arterial occlusion of coronary artery, mesenteric artery, upper and lower limb arteries, carotid and cerebral arteries, and even aorta in patients with COVID-19 and the increased incidence was correlated mostly with hypercoagulable state. 2,[7][8][9][10] In one study, the incidence of acute limb ischemia (ALI) increased significantly among COVID-19 compared with non-COVID-19 populations (16.3 vs. 1.8%). 4 Most of the available reports were obtained from hospitalized population and there is currently no data regarding the incidence of thrombosis among COVID-19 patients in ambulatory setting.…”

mentioning

confidence: 99%

Catastrophic Concomitant Arterial and Venous Thrombosis in a Mild COVID-19-Positive Patient

et al. 2021

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Since its first discovery in late 2019, coronavirus disease 2019 (COVID-19) has been a global burden associated with significant morbidity and mortality. COVID-19 has been correlated with the development of hypercoagulable state that predisposes the patients to a higher risk of thromboembolism. Current evidence suggests higher incidence of thrombosis, particularly venous thrombosis, among hospitalized COVID-19 patients, mostly with critical illness. On the other hand, there is currently no data regarding the incidence of vivid thrombosis in ambulatory patients with mild COVID-19 and the incidence of concomitant arterial and venous thrombosis in COVID-19 is extremely rare. Herein, we describe catastrophic outcomes of concomitant lower limb arterial and venous thrombosis in a patient with mild COVID-19. This report highlights the occurrence of concomitant arterial and venous thrombosis in ambulatory setting and that this phenomenon resulted in catastrophic clinical consequences.

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Acute Mesenteric Ischemia in a Patient with COVID-19: A Case Report

Cited by 10 publications

References 7 publications

Acute Mesenteric Ischemia in a COVID-19 Patient: Delay in Referral and Recommendation for Surgery

Acute Mesenteric Ischemia in a COVID-19 Patient: Delay in Referral and Recommendation for Surgery

Colonic and Rectum Infarction in the Covid19 Pandemic: A Case Series from an Uncommon Event

Catastrophic Concomitant Arterial and Venous Thrombosis in a Mild COVID-19-Positive Patient

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