Coexisting Portal Vein Thrombosis and Aortic Thrombosis in a Patient with COVID-19: A Case Report and Literature Review

7 Pages Posted: 7 Apr 2022

See all articles by ramya akella

ramya akella

University of Pikeville - Department of Internal Medicine

rishi raj

affiliation not provided to SSRN

lakshmi kannan

affiliation not provided to SSRN

aasems jacob

affiliation not provided to SSRN

Abstract

The Coronavirus Disease 2019 (COVID-19) pandemic has rapidly progressed, resulting in significant global morbidity and mortality. Predominantly affecting the respiratory tract, it has been found to be associated with extrapulmonary manifestations such as coagulopathies. We hereby report a case of an elderly man with no predisposing risk factors or history of hypercoagulable disorder who presented with acute onset abdominal pain and was diagnosed with portal vein thrombosis and splenic infarct two weeks following mild COVID-19. Incidentally, the patient was also noted to have aortic thrombosis. The patient was treated with therapeutic anticoagulation with complete resolution in his symptoms. Our case highlights a high risk of coagulopathy following infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

Note:
Funding Information: None to declare.

Conflict of Interests: The author(s) declare no potential conflicts of interest with respect to the publication of this article.

Patient Informed Consent Statement: Written informed consent was obtained from the patient for publication of this case report and accompanying images

Keywords: coronavirus disease 2019, COVID-19, aortic mural thrombus, portal vein thrombosis, coagulopathy, heparin

Suggested Citation

akella, ramya and raj, rishi and kannan, lakshmi and jacob, aasems, Coexisting Portal Vein Thrombosis and Aortic Thrombosis in a Patient with COVID-19: A Case Report and Literature Review. Available at SSRN: https://ssrn.com/abstract=4047613 or http://dx.doi.org/10.2139/ssrn.4047613

Ramya Akella (Contact Author)

University of Pikeville - Department of Internal Medicine ( email )

KY
United States

Rishi Raj

affiliation not provided to SSRN ( email )

No Address Available

Lakshmi Kannan

affiliation not provided to SSRN ( email )

No Address Available

Aasems Jacob

affiliation not provided to SSRN ( email )

No Address Available

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