Ischémie mésentérique aigue veineuse chez un jeune sujet Covid 19 positif: à propos d’un cas

Acute mesenteric ischemia and COVID-19: an integrative review of the literature

“…In the studies that cited the gastrointestinal clinical manifestations, the most frequent was abdominal pain with or without other complaints ( Table 1 ), being characterized as intense 7 , 8 , 20 , 24 , 25 , 30 , 31 , 38 , 39 , 41 , 43 , 44 , 51 , 62 , of sudden onset 8 , 31 , 35 , 36 , 38 - 40 , 47 , 58 , 59 , in cramps and without clear triggering factor 34 , 49 , 51 , of diffuse location 8 , 9 , 20 , 28 , 38 , 40 , 41 , 45 , 60 , and epigastric and/or mesogastric 25 - 27 , 49 , 51 .…”

“…The positive patients for COVID-19 in the study by Aktokmakyan et al who arrived at the emergency room receiving a preliminary diagnosis of acute abdomen were subsequently operated on due to mesenteric ischemia 54 . In addition to these, another group resorted to the emergency for gastrointestinal symptoms, with or without the presence of associated respiratory symptoms; in these cases, pneumonia was confirmed after admission 23 , 25 , 27 , 32 , 34 , 35 , 38 , 40 , 41 , 46 , 51 . One patient was admitted for ischemic stroke due to occlusion of the right middle cerebral artery, COVID-19 being confirmed by PCR after suggestive findings in imaging tests and, two days after admission, he developed abdominal pain and vomiting 50 .…”

“…The noticed laboratory abnormalities were leukocytosis 7 - 9 , 20 , 23 , 24 , 27 , 28 , 32 , 36 - 38 , 40 , 41 , 43 - 45 , 48 , 49 , 51 , 53 , 57 - 59 , 61 , elevated or close to the maximum reference values of C-reactive protein (CRP) 9, 10,20,23,24,27,38,41,43,44,46,48,51,53,54,57-59,61 , procalcitonin 7 , 9 , 10 , 57 , lactate dehydrogenase (LDH) 24 , 32 , 37 , 41 , 49 , 53 , 57 , 59 , 61 , ferritin 10 , 25 , 28 , 33 , 44 , 49 , 51 , fibrinogen 26 , 28 , 33 , 34 , 54 , 55 , 57 , 60 and D-dimer 7 , 10 , 23 , 25 - 28 , 31 , 33 , 34 , 36 - 38 , 40 , 46 , 49 , …”

“…In an Iranian case series of 24 patients, the median age was 61.5 years and 67% of them were male 53 . Peripheral and bilateral consolidations and groundglass opacities were the most common pulmonary findings 8,9,20,25,26,28,31,32,[34][35][36][37][38][39][40][41][43][44][45][46][47][48][49]53,59,61 . Only four reports did not mention the diagnostic method 28,52,57,62 and there was detection of viral RNA in the intestinal mucosa of a patient through the In Situ Hybridization technique, performed due to the high clinical suspicion associated with a previously negative PCR and absence of inflammatory patterns characteristic of COVID-19 on their chest CT 23 .…”

“…Another 19 patients had previously been diagnosed with COVID-19 but returned to the emergency service or required intra/inter-hospital transfer with gastrointestinal complaints 8,9,26,28,30,31,37,39,[43][44][45][47][48][49]51,[60][61][62] symptoms; in these cases, pneumonia was confirmed after admission 23,25,27,32,34,35,38,40,41,46,51 . One patient was admitted for ischemic stroke due to occlusion of the right middle cerebral artery, COVID-19 being confirmed by PCR after suggestive findings in imaging tests and, two days after admission, he developed abdominal pain and vomiting 50 .…”