Spontaneous portomesenteric thrombosis in a non-cirrhotic patient with SARS-CoV-2 infection.
BMJ Case Rep
; 13(12)2020 Dec 22.
Artículo
en Inglés
| MEDLINE | ID: covidwho-999235
ABSTRACT
Intra-abdominal thromboses are a poorly characterised thrombotic complication of COVID-19 and are illustrated in this case. A 42-year-old man with chronic hepatitis B (undetectable viral load, FibroScan 7.4 kPa) developed fever and cough in March 2020. 14 days later, he developed right upper quadrant pain. After being discharged with reassurance, he re-presented with worsening pain on symptom day 25. Subsequent abdominal ultrasound suggested portal vein thrombosis. CT of the abdomen confirmed portal and mid-superior mesenteric vein thromboses. Concurrent CT of the chest suggested COVID-19 infection. While reverse transcription PCR was negative, subsequent antibody serology was positive. Thrombophilia screen excluded inherited and acquired thrombophilia. Having been commenced on apixaban 5 mg two times per day, he is currently asymptomatic. This is the first case of COVID-19-related portomesenteric thrombosis described in the UK. A recent meta-analysis suggests 9.2% of COVID-19 cases develop abdominal pain. Threshold for performing abdominal imaging must be lower to avoid this reversible complication.
Palabras clave
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Base de datos:
MEDLINE
Asunto principal:
Vena Porta
/
Pirazoles
/
Piridonas
/
Hepatitis B Crónica
/
Isquemia Mesentérica
/
SARS-CoV-2
/
COVID-19
/
Venas Mesentéricas
Tipo de estudio:
Reporte de caso
/
Estudios diagnósticos
/
Estudio pronóstico
/
Revisiones
Tópicos:
Covid persistente
Límite:
Adulto
/
Humanos
/
Masculino
Idioma:
Inglés
Año:
2020
Tipo del documento:
Artículo
País de afiliación:
Bcr-2020-238906
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