Mesenteric Infarction With Cerebral Thrombotic Relapses and Pulmonary Embolism Two and Four Months After COVID-19.

Autor: Pereira de Godoy HJ; Department of General Surgery, Medicine School in Sao Jose do Rio Preto, FAMERP, Brazil., Marum Olmedo G; Vascular Surgery Service, Medicine School in Sao Jose do Rio Preto, FAMERP, Brazil., Pereira de Godoy JM; Cardiovascular Surgery Department, Medicine School in Sao Jose do Rio Preto, FAMERP, Brazil.; Undergraduate Medicine Course and the Stricto Sensu Postgraduate Course, FAMERP and CNPq (National Council for Research and Development), Brazil., Espada PC; Trauma Surgery, Medicine School in Sao Jose do Rio Preto, FAMERP, Brazil.
Jazyk: angličtina
Zdroj: Gastroenterology research [Gastroenterology Res] 2023 Jun; Vol. 16 (3), pp. 192-194. Date of Electronic Publication: 2023 Jun 11.
DOI: 10.14740/gr1525
Abstrakt: The aim of the present study was to report different sites of thrombotic events during and after coronavirus disease 2019 (COVID-19) in a 49-year-old patient who had acute mesenteric infarction in acute phase, stroke 2 months after and pulmonary thromboembolism 4 months after infection by COVID-19. The obese, previously healthy patient experienced myalgia and headache with subfebrile peaks and was tested positive for COVID-19 with a fast polymerase chain reaction (PCR) assay. Ten days after the onset of symptoms, the patient was submitted to exploratory laparotomy, which revealed 20 cm of small intestine loop with signs of suffering and thickening of the wall approximately 120 cm from the ileocecal valve. Two months after the event, angiotomography was performed, revealing effacement of the sulci in the right parietal region and hypersignal of the right middle cerebral artery with stop in M1. Two months later (4 months after the mesenteric infarction), chest angiotomography revealed signs of acute pulmonary thromboembolism, with no typical image of pulmonary infarction. Despite all these complications in the postoperative period, the patient survived.
Competing Interests: The authors declared no conflict of interest.
(Copyright 2023, Pereira de Godoy et al.)
Databáze: MEDLINE