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COVID-19 induced mesenteric ischemia in a patient with ulcerative colitis and paroxysmal nocturnal haemoglobinuria despite thromboprophylaxis.
Choudhury, Arup; Sundaram, Mohan; Luwang, Thiyam Tozo; Singh, Harjeet; Sharma, Vishal.
  • Choudhury A; Department of Gastroenterology and Surgical Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab, India.
  • Sundaram M; Department of Gastroenterology and Surgical Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab, India.
  • Luwang TT; Department of Gastroenterology and Surgical Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab, India.
  • Singh H; Department of Gastroenterology and Surgical Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab, India.
  • Sharma V; Department of Gastroenterology and Surgical Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab, India.
J R Coll Physicians Edinb ; 53(1): 55-56, 2023 03.
Article in English | MEDLINE | ID: covidwho-2293459
ABSTRACT
Inflammatory bowel disease and paroxysmal nocturnal hemoglobinuria (PNH) are both well-known prothrombotic states. However, ongoing thromboprophylaxis is usually effective in such conditions. We report an imbalance that was triggered by COVID-19 infection. There is evidence that COVID-19 infection leads to thrombosis of vessels. The thrombosis of mesenteric vessels can be multifocal and without respiratory symptoms and leads to devastating consequences like resection of large segments of the bowel and lifelong requirement of parenteral nutritional support. We report about a case of ulcerative colitis (in remission) and PNH where COVID-19 resulted in mesenteric ischemia.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Thrombosis / Colitis, Ulcerative / Venous Thromboembolism / Mesenteric Ischemia / COVID-19 / Hemoglobinuria, Paroxysmal Type of study: Case report / Diagnostic study Topics: Long Covid Limits: Humans Language: English Journal: J R Coll Physicians Edinb Journal subject: Education / History of Medicine / Medicine Year: 2023 Document Type: Article Affiliation country: 14782715221148642

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Thrombosis / Colitis, Ulcerative / Venous Thromboembolism / Mesenteric Ischemia / COVID-19 / Hemoglobinuria, Paroxysmal Type of study: Case report / Diagnostic study Topics: Long Covid Limits: Humans Language: English Journal: J R Coll Physicians Edinb Journal subject: Education / History of Medicine / Medicine Year: 2023 Document Type: Article Affiliation country: 14782715221148642