A Rare Case of COVID-19 Pneumonia Concomitant with Bleeding from Acute Gastric Mucosal Lesions
| Autor: | Masatoshi Miyata, Tetsuhiro Minamikawa, Hideaki Kawabata, Tetsuya Yamamoto, Ryo Shinomiya, Kojiro Nakase, Katsutoshi Yamaguchi, Yuki Ueda, Shigehiro Motoi, Yasuyuki Enoki, Yuji Okazaki |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
Gastrointestinal bleeding medicine.medical_specialty Coronavirus disease 2019 (COVID-19) gastrointestinal bleeding Case Report Gastroenterology coronavirus disease 2019 Internal medicine Internal Medicine medicine Coagulopathy Humans Endoscopy Digestive System Respiratory system Aged medicine.diagnostic_test Esophagogastroduodenoscopy business.industry SARS-CoV-2 Stomach COVID-19 Hematemesis General Medicine medicine.disease acute gastric mucosal lesion Pneumonia medicine.anatomical_structure Concomitant business |
| Zdroj: | Internal Medicine |
| ISSN: | 1349-7235 0918-2918 |
| Popis: | A 70-year-old man was diagnosed with coronavirus disease 2019 (COVID-19) pneumonia. Twenty-six days after admission, he experienced hematemesis despite improvement in his respiratory symptoms. Contrast-enhanced computed tomography revealed edematous stomach wall thickening with neither ischemic findings in the gastric wall nor obstruction of the gastric artery. Emergent esophagogastroduodenoscopy showed diffuse dark-red mucosa accompanied by multiple easy-bleeding, irregularly shaped ulcers throughout almost the whole stomach without active bleeding or visible vessels. The clinical course, including the endoscopic findings, progressed favorably with conservative treatment. COVID-19 pneumonia can present with acute gastric mucosal lesion, which may be induced by microvascular thrombosis due to COVID-19-related coagulopathy. |
| Databáze: | OpenAIRE |
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