ABSTRACT
Coronavirus is a source of deep venous thrombosis (DVT) due to complications such as over-coagulation, blood stasis, and endothelial damage. Ovarian vein thrombosis (OVT) is a very serious and rare disease. In this study, we report tow rare case of women with coronavirus who were hospitalized with a right ovarian vein thrombosis mimicking acute abdomen who progressed well on anticoagulation. Our report adds further document in Side effects and rare localisation of obstruction of veins and arteries in patient with corona virus.
Subject(s)
Abdomen, Acute , COVID-19/complications , Enoxaparin/administration & dosage , Ovary/blood supply , Puerperal Disorders , Venous Thrombosis , Abdomen, Acute/diagnosis , Abdomen, Acute/etiology , Adult , Anticoagulants/administration & dosage , COVID-19/blood , COVID-19/diagnosis , COVID-19/physiopathology , COVID-19/therapy , Diagnosis, Differential , Female , Fibrin Fibrinogen Degradation Products/analysis , Humans , Male , Middle Aged , Puerperal Disorders/blood , Puerperal Disorders/etiology , Puerperal Disorders/physiopathology , Puerperal Disorders/therapy , SARS-CoV-2/isolation & purification , Tomography, X-Ray Computed/methods , Treatment Outcome , Veins/diagnostic imaging , Veins/pathology , Venous Thrombosis/blood , Venous Thrombosis/etiology , Venous Thrombosis/physiopathology , Venous Thrombosis/therapy , Post-Acute COVID-19 SyndromeABSTRACT
A 12-year-old girl with severe acute respiratory syndrome coronavirus 2 infection presented as phlegmasia cerulea dolens with venous gangrene. Emergent mechanical thrombectomy was complicated by a massive pulmonary embolism and cardiac arrest, for which extracorporeal cardiopulmonary resuscitation and therapeutic hypothermia were used. Staged ultrasound-assisted catheter-directed thrombolysis was used for treatment of bilateral pulmonary emboli and the extensive lower extremity deep vein thrombosis while the patient received extracorporeal membrane oxygenation support. We highlight the need for heightened suspicion for occult severe acute respiratory syndrome coronavirus 2 infection among children presenting with unusual thrombotic complications.