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Superior Mesenteric Arterial and Venous Thrombosis in COVID-19.
Amaravathi, Uthayakumar; Balamurugan, Nathan; Muthu Pillai, Vivekanandan; Ayyan, S Manu.
  • Amaravathi U; Department of Emergency Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
  • Balamurugan N; Department of Emergency Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
  • Muthu Pillai V; Department of Emergency Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
  • Ayyan SM; Department of Emergency Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
J Emerg Med ; 60(5): e103-e107, 2021 05.
Article in English | MEDLINE | ID: covidwho-1009661
ABSTRACT

BACKGROUND:

Patients with coronavirus disease 2019 (COVID-19) commonly present with fever, constitutional symptoms, and respiratory symptoms. However, atypical presentations are also well known. Though isolated mesenteric arterial occlusion associated with COVID-19 has been reported in literature, combined superior mesenteric arterial and venous thrombosis is rare. We report a case of combined superior mesenteric arterial and venous occlusion associated with COVID-19 infection. CASE REPORT We report a case of a 45-year-old man who was a health care worker who presented to the emergency department with severe abdominal pain. The clinical examination was unremarkable, but imaging revealed acute mesenteric ischemia caused by superior mesenteric artery and superior mesenteric vein occlusion. Imaging of the chest was suggestive of COVID-19 infection, which was later confirmed with reverse transcription polymerase chain reaction of his nasopharyngeal swab. To date, only 1 case of combined superior mesenteric artery and superior mesenteric vein thrombosis caused by COVID-19 has been reported. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS? During the COVID-19 pandemic it is important to keep mesenteric ischemia in the differential diagnosis of unexplained abdominal pain. Routinely adding high-resolution computed tomography of the chest to abdominal imaging should be considered in patients with acute abdomen because it can help to identify COVID-19 immediately. © 2020 Elsevier Inc.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Thrombosis / Venous Thrombosis / SARS-CoV-2 / COVID-19 / Intestines Type of study: Case report / Diagnostic study / Prognostic study Topics: Long Covid Language: English Journal: J Emerg Med Journal subject: Emergency Medicine Year: 2021 Document Type: Article Affiliation country: J.jemermed.2020.12.016

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Thrombosis / Venous Thrombosis / SARS-CoV-2 / COVID-19 / Intestines Type of study: Case report / Diagnostic study / Prognostic study Topics: Long Covid Language: English Journal: J Emerg Med Journal subject: Emergency Medicine Year: 2021 Document Type: Article Affiliation country: J.jemermed.2020.12.016