Intestinal ischemia in a COVID-19 patient: Case report from Northern Tanzania
Open accessAbstract
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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Acute mesenteric ischemia in COVID-19 patients
Serban, D., Tribus, L. C., Vancea, G., Stoian, A. P., Dascalu, A. M., Suceveanu, A. I., Tanasescu, C., Costea, A. C., Tudosie, M. S., Tudor, C., et al. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm11010200 · Cited by 46 · see citing works
- 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
- Publisher
- Oxford University Press (OUP)
- Published
- 2021-01-01
- Volume
- 2021
- Issue
- 1
- Pages
- rjaa537-rjaa537
- ISSN
- 2042-8812 (ISSN-L)
- PMC
- PMC7837360
- 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
- gold
- doi.org
- Licence
- 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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