Acute mesenteric ischemia in patient after COVID-19: a case report

Autor: Matheus Costa Morais, Luana Almeida Abreu, Camila Silva Abreu, David Filipe Silva da Cruz, João Paulo Lemos da Silveira Santo
Jazyk: English<br />Portuguese
Rok vydání: 2023
Předmět:
Zdroj: Revista Médica de Minas Gerais, Vol 33, p e-33402 (2023)
Druh dokumentu: article
ISSN: 2238-3182
0103-880X
DOI: 10.5935/2238-3182.2023e33402
Popis: Introduction: COVID-19 is a disease caused by SARS-CoV-2 that progresses with a predominance of respiratory symptoms. Studies have elucidated to clarify the pathophysiology and clinical manifestations resulting from viral infection, in view of the repercussion of the theme and its notoriety worldwide. Although the respiratory system is the primary focus of infection the forms of extrapulmonary involvement of the pathology have gained prominence. Thromboembolic events associated with COVID-19 have been evidenced in the medical literature, resulting from the alteration of the coagulation cascade and the exacerbated inflammatory response. Discussion: We present below the case of a 56-year-old woman who developed severe abdominal pain after COVID-19 infection. Abdominal tomography showed occlusion of the superior mesenteric artery. The patient underwent exploratory laparotomy, which is the primary approach for acute vascular abdomen. Conclusion: Mesenteric ischemia represents an example of thromboembolic diseases that had their profile of differentiation after the COVID-19 pandemic. Previously, some triggering precedents, such as cardiovascular impairment. Currently, the incidence profile has been changed, with SARS-CoV-2 infection being one of the new causal predisposing factors.
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