Cited by 11Abdominal vascular conditions and treatmentsCOVID-19 Clinical Research StudiesRetinal and Optic Conditions

Intestinal ischemia in a COVID-19 patient: Case report from Northern Tanzania

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Kiwango, Frank, Mremi, Alex, Masenga, Albert, Akrabi, Huda·2021·Journal of Surgical Case Reports

Abstract

Novel coronavirus disease 2019 (COVID-19) was first identified in Wuhan, China, and declared by World Health Organization as a pandemic in March 2020. Since then, it has been well known for COVID-19 patients to present with clinical manifestations of severe acute respiratory syndrome (SARS-CoV-2) similar to the influenza. However, in the course of the disease, various pathological complications of high clinical significance have remained unknown. Impaired blood supply to the visceral vascular system can cause serious life-threatening acute damage. We report a case of a 60-year-old female with difficulty in breathing and extensive acute intestinal ischemia confirmed to be associated with SARS-CoV-2 infection. The patient developed a sudden abdominal pain and succumbed shortly after admission before imaging studies were performed. Autopsy revealed massive bowel ischemia. This case highlights the importance of paying attention to serious and less known clinical manifestations other than pulmonary symptoms and fever.

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  • 30 case reports or case series presented 34 cases of acute bowel ischemia in patients positive for SARS-CoV-2 infection in different clinical settings.

    “We also identified 30 case reports or case series [22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51] presenting 34 cases of acute bowel ischemia in patients positive for SARS-CoV-2 infection in different clinical settings.”

    From Acute mesenteric ischemia in COVID-19 patients (2021) · cites this paper as [29]

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Authors
Kiwango, F., Mremi, A., Masenga, A., & Akrabi, H.
Affiliations
Kilimanjaro Christian Medical Centre (TZ)
Corresponding author
Kiwango, Frank
Venue
Journal of Surgical Case Reports
Published
2021-01-01
Volume
2021
Issue
1
Pages
rjaa537-rjaa537
ISSN
2042-8812 (ISSN-L)
OpenAlex
W3125297860
Cited by
11
References
10
Citations by year
2024: 4 · 2023: 2 · 2022: 1 · 2021: 4
FWCI
1.60
Type
journal article
Language
en
Open access
Locations
  • Journal of Surgical Case Reports (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • 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
COVID-19 pandemic, SARS-CoV-2, intestinal ischemia, atypical presentation, visceral ischemia, autopsy findings, abdominal pain

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