Acute mesenteric arterial thrombosis in severe SARS-Co-2 patient: A case report and literature review
Open accessAbstract
INTRODUCTION: CoV-2 infection generates a pro-inflammatory state, which conditions the formation of thrombi that can affect any system. Multi-organ dysfunction is a cause of death, mesenteric ischemia in COVID 2019 patients reported is 1.9-4%. DESCRIPTION OF THE CASE: We present the case of a 73-year-old male patient who started with severe SARS-CoV-2 and arterial-type intestinal ischemia, necrosis of 3 m of the small intestine, based on SCARE 2020 guide. DISCUSSION: Complications secondary to thrombosis are as follows; myocardial infarction 1.1%, ischemic cerebral events, 2.5-3.7%, microvascular thrombosis including mesenteric ischemia in less than 1% of cases. In patients with mesenteric ischemia the reported postoperative mortality is 23.8% of patients especially during the first 30 days. CONCLUSION: Intestinal thrombosis in patients with SARS-CoV-2 increases mortality.
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Guarding may be evocative for peritonitis due to compromised vascularization of bowel loops and bacterial translocation or franc perforation.
“Guarding may be evocative for peritonitis due to compromised vascularization of bowel loops and bacterial translocation or franc perforation [35,39].”
From Acute mesenteric ischemia in COVID-19 patients (2021) · cites this paper as [39]
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References 19 · Cited by 12
Research works printed but not linked: 1
- [11]Quinaglia T. Shabani M. Brder I. Coronavirus disease-19: the multi-level, multi-faceted vasculopathy Atherosclerosis 322 2021 39 50 33706082 PMC7883684
- Authors
- Romero, M. D. C. V., Cárdenas, A. M., Fuentes, A. B., Barragán, A. A. S., Gómez, D. B. S., & Jiménez, M. T.
- Affiliations
- Mexican Social Security Institute (MX)
- Corresponding author
- Romero, Montserrat Del Carmen Valencia
- Venue
- International Journal of Surgery Case Reports
- Published
- 2021-01
- Volume
- 86
- Issue
- C
- Pages
- 106307
- ISSN
- 2210-2612 (ISSN-L)
- PMC
- PMC8354808
- OpenAlex
- W3190270433
- Cited by
- 12
- References
- 19
- Citations by year
- 2024: 2 · 2023: 6 · 2022: 2 · 2021: 2
- FWCI
- 2.82
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Surgery Case Reports (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
- Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
- Health Sciences › Medicine › Ophthalmology › Retinal and Optic Conditions
- Keywords
- SARS-CoV-2, COVID-19 pandemic, intestinal ischemia, small bowel necrosis, multiple organ failure, proinflammatory state, postoperative mortality
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