A 29-Year-Old Male Construction Worker from India Who Presented with Left- Sided Abdominal Pain Due to Isolated Superior Mesenteric Vein Thrombosis Associated with SARS-CoV-2 Infection

Autor: Li Lin, See Toh Cheong Wah, Suresh Kumar Thuluva, Saurav Gupta, Eng Soo Yap, Kuan Yuen Yeong, Hongguang Zhu, Mark M L Tan
Rok vydání: 2020
Předmět:
Adult
Male
medicine.medical_specialty
SUPERIOR MESENTERIC VEIN THROMBOSIS
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Pneumonia
Viral
India
030204 cardiovascular system & hematology
Real-Time Polymerase Chain Reaction
Risk Assessment
Severity of Illness Index
Gastroenterology
Virus
03 medical and health sciences
COVID-19 Testing
Mesenteric Veins
0302 clinical medicine
Internal medicine
Mesenteric Vascular Occlusion
medicine
Humans
Pandemics
Venous Thrombosis
Clinical Laboratory Techniques
business.industry
Construction Industry
Anticoagulants
COVID-19
Articles
General Medicine
Heparin
SARS Virus
medicine.disease
Thrombosis
Abdominal Pain
Venous thrombosis
Treatment Outcome
medicine.anatomical_structure
030220 oncology & carcinogenesis
Radiography
Thoracic
Coronavirus Infections
Tomography
X-Ray Computed
business
Complication
Respiratory tract
medicine.drug
Zdroj: The American Journal of Case Reports
ISSN: 1941-5923
Popis: Patient: Male, 29-year-old Final Diagnosis: COVID provoked thromboembolism Symptoms: Abdominal pain Medication:— Clinical Procedure: — Specialty: Infectious Diseases • Radiology Objective: Rare co-existance of disease or pathology Background: In corona virus disease 2019 (COVID-19), which emerged in December 2019 and is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), most case presentations have been related to the respiratory tract. Several recent studies reveal that angiotensin-converting enzyme 2 (ACE2), which was found in the target cells of the virus, is highly expressed in the lungs, small bowel, and vasculature. Case Report: A 29-year-old male construction worker from India presented with left-sided colicky abdominal pain. He tested positive for infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) by reverse transcription-polymerase chain reaction (RT-PCR). Isolated superior mesenteric vein thrombosis was diagnosed by CT (computed tomography) scan. He was managed by anti-coagulants and clinically improved. Conclusions: This case report indicates that isolated venous thrombosis of the abdominal vessels without concurrent arterial thrombosis can be a complication of the hyper-coagulability state in COVID-19 patients. Hence, early evaluation of abdominal vessels in covid-19 patients who present with any abdominal symptoms should be considered, especially when found to have an elevated D-dimer level, as early treatment of thrombosis with low-molecular-weight heparin can have a significant impact on the therapeutic outcome.
Databáze: OpenAIRE
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