Year 2022 / Volume 114 / Number 1
Letter
Gastroduodenal ischemia in a patient with severe SARS-CoV-2 infection

50

DOI: 10.17235/reed.2021.8178/2021

Isabel Garrido, Armando Peixoto, Guilherme Macedo,

Abstract
A 54-year-old male with a past medical history of hypertension, dyslipidemia, obesity, and diastolic heart failure, was admitted due to COVID-19 pneumonia. Respiratory failure gradually deteriorated and the patient was transferred to the intensive care unit (ICU), where mechanical ventilation and veno-venous extracorporeal membrane oxygenation (VV-ECMO) were started. On the second day in the ICU, he went into septic shock due to ventilator-associated pneumonia. Five days later, the patient had new-onset melena and laboratory data showed a hemoglobin level of 7.8 g/dL. He required blood transfusions and vasopressor requirements increased.
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References
Varga Z, Flammer AJ, Steiger P, et al. Endothelial cell infection and endotheliitis in COVID-19. Lancet. 2020 May 2;395(10234):1417-1418.
Ignat M, Philouze G, Aussenac-Belle L, et al. Small bowel ischemia and SARS-CoV-2 infection: an underdiagnosed distinct clinical entity. Surgery. 2020;168(1):14-16.
Vanella G, Capurso G, Burti C, et al. Gastrointestinal mucosal damage in patients with COVID-19 undergoing endoscopy: an international multicentre study. BMJ Open Gastroenterol. 2021;8(1):e000578.
Pérez Roldán F, Malik Javed Z, Yagüe Compadre JL, et al. Gastric ulcers with upper gastrointestinal bleeding in patients with severe SARS-CoV-2. Rev Esp Enferm Dig. 2021 Feb;113(2):122-124.
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Garrido I, Peixoto A, Macedo G. Gastroduodenal ischemia in a patient with severe SARS-CoV-2 infection. 8178/2021


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Publication history

Received: 25/06/2021

Accepted: 13/07/2021

Online First: 28/07/2021

Published: 10/01/2022

Article revision time: 10 days

Article Online First time: 33 days

Article editing time: 199 days


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