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Volume 2022, Issue 1
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

Introduction: Since the outbreak of coronavirus disease 2019 (COVID-19) in December 2019, various thrombotic complications have been frequently reported in patients with infection. Acute mesenteric ischemia (AMI) is a rare but life-threatening complication in this disease, which requires early recognition and prompt treatment.

Case presentation: We report two cases of COVID-19-related AMI. Both patients underwent emergency laparotomy for small bowel ischemia. The first patient received prompt intervention and was discharged 5 days after surgery. The second patient presented late to the hospital and succumbed 72 h after surgery.

Conclusion: These two cases highlight the importance of high suspicion, early recognition, and prompt treatment in patients with abdominal symptoms related to COVID-19.

© 2022 Chandrakar, Sangadala, Gupta, Kumar, Agarwal, licensee HBKU Press.
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2022-02-28
2024-04-19
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References

  1. Phelan AL, Katz R, Gostin LO. The novel coronavirus originatingin Wuhan, China: challenges for Global Health Governance. JAMA. 2020; 323:(8):709-10. doi:10.1001/jama.2020.1097. PMID: 31999307.
     [Google Scholar]
  2. Lodigiani C, Iapichino G, Carenzo L, Cecconi M, Ferrazzi P, Sebastian T, et al. Venous and arterial thromboembolic complications in COVID-19 patients admitted to an academic hospital in Milan, Italy. Thromb Res. 2020;191:9-14. doi:10.1016/j.thromres.2020.04.024. Epub 2020 Apr 23. PMID: 32353746; PMCID: PMC7177070.
     [Google Scholar]
  3. Bhayana R, Som A, Li MD, Carey DE, Anderson MA, Blake MA, et al. Abdominal Imaging Findings in COVID-19: Preliminary Observations. Radiology. 2020; 297:(1):E207-15. doi:10.1148/radiol.2020201908. Epub 2020 May 11. PMID: 32391742; PMCID: PMC7508000.
     [Google Scholar]
  4. Klar E, Rahmanian PB, Bücker A, Hauenstein K, Jauch KW, Luther B. Acute mesenteric ischemia: a vascular emergency. DtschArztebl Int. 2012; 109:(14):249-56. doi:10.3238/arztebl.2012.0249. Epub 2012 Apr 6. PMID: 22536301; PMCID: PMC3336145.
     [Google Scholar]
  5. Long B, Brady WJ, Koyfman A, Gottlieb M. Cardiovascular complications in COVID-19. Am J Emerg Med. 2020; 38:(7):1504-1507. doi:10.1016/j.ajem.2020.04.048. Epub 2020 Apr 18. PMID: 32317203; PMCID: PMC7165109.
     [Google Scholar]
  6. Klok FA, Kruip MJHA, van der Meer NJM, Arbous MS, Gommers DAMPJ, Kant KM, et al. Incidence of thrombotic complications in critically ill ICU patients with COVID-19. Thromb Res. 2020;191:145-7. doi:10.1016/j.thromres.2020.04.013. Epub 2020 Apr 10. PMID: 32291094; PMCID: PMC7146714.
     [Google Scholar]
  7. Seeliger B,Philouze G,Cherkaoui Z,Felli E, Mutter D, et al. Acute abdomenin patients with SARS-CoV-2 infection or co-infection, Langenbecks ArchSurg. 2020; 405:(6):861-6. doi:10.1007/s00423-020-01948-2, Publishedonline 2020 July 27.
     [Google Scholar]
  8. Cano-Matías A,Marenco-de LC, Sánchez-Ramírez N,Retamar-Gentil M, Pérez-Margallo E. Isquemiamesentéricaaguda: un desafíoaúnnoresuelto, CirugíaAndaluza. 2019; 30:(1):57–65.
     [Google Scholar]
  9. Parry AH, Wani AH, Yaseen M. Acute mesenteric ischemia in severe coronavirus-19 (COVID-19): possible mechanisms and diagnostic pathway. Acad Radiol. 2020; 27:(8):1190. doi:10.1016/j.acra.2020.05.016. Epub 2020 May 23. PMID: 32475635; PMCID: PMC7245306.
     [Google Scholar]
  10. Cheung KS, Hung IFN, Chan PPY, Lung KC, Tso E, Liu R, et al. Gastrointestinal manifestationsof SARS-CoV-2 infection and virus load in fecal samples froma Hong Kong cohort: systematic review and meta-analysis. Gastroenterology. 2020; 159:(1):81-95. doi:10.1053/j.gastro.2020.03.065. Epub 2020 Apr 3. PMID: 32251668; PMCID: PMC7194936.
     [Google Scholar]
  11. Ojha V, Mani A, Mukherjee A, Kumar S, Jagia P. Mesenteric ischemia in patients with COVID-19: an updated systematic review of abdominal CT findings in 75 patients. AbdomRadiol (NY). 2021:1–38. doi:10.1007/s00261-021-03337-9. Epub ahead of print. PMID: 34761305; PMCID: PMC8580173.
     [Google Scholar]
  12. Rodriguez-Nakamura RM, Gonzalez-Calatayud M, Martinez Martinez AR. Acute mesenteric thrombosis in two patients with COVID-19. Two cases report and literature review. Int J Surg Case Rep. 2020;76:409-414. doi:10.1016/j.ijscr.2020.10.040. Epub 2020 Oct 15. PMID: 33083204; PMCID: PMC7560267.
     [Google Scholar]
  13. Meini S, Zini C, Passaleva MT, Frullini A, Fusco F, Carpi R, et al. Pneumatosisintestinalis in COVID-19. BMJ Open Gastroenterol. 2020; 7:(1):e000434. doi:10.1136/bmjgast-2020-000434. PMID: 32522754; PMCID: PMC7287500.
     [Google Scholar]
  14. Norsa L, Valle C, Morotti D, Bonaffini PA, Indriolo A, Sonzogni A. Intestinal ischemia in the COVID-19 era. Dig Liver Dis. 2020; 52:(10):1090-1. doi:10.1016/j.dld.2020.05.030. Epub 2020 Jun 10. PMID: 32532607; PMCID: PMC7283075.
     [Google Scholar]
  15. Björck M, Koelemay M, Acosta S, BastosGoncalves F, Kölbel T, Kolkman JJ, et al. Editor's choice - management of the diseases of mesenteric arteries and veins: clinical practice guidelines of the European Society of Vascular Surgery (ESVS). Eur J VascEndovasc Surg. 2017; 53:(4):460-510. doi:10.1016/j.ejvs.2017.01.010. PMID: 28359440.
     [Google Scholar]
  16. Acosta S, Björck M. Modern treatment of acute mesenteric ischaemia. Br J Surg. 2014; 101:(1):e100-8. doi:10.1002/bjs.9330. Epub 2013 Nov 20. PMID: 24254428.
     [Google Scholar]
  17. Bobadilla JL. Mesenteric ischemia. SurgClin North Am. 2013; 93:(4):925-40, ix. doi:10.1016/j.suc.2013.04.002. Epub 2013 May 16. PMID: 23885938.
     [Google Scholar]
  18. COVIDSurg Collaborative [Internet], Mortality and pulmonary complications in patientsundergoing surgery with perioperative SARS-CoV-2 infection: aninternational cohort study, Lancet XXX (2020), Available from: http://dx.doi.org/10.1016/S0140-6736(20)31182-X .
     [Google Scholar]
  19. Bagheripour MH, Zakeri MA. Acute mesenteric ischemiain a COVID-19 patient: delay in referral and recommendation for surgery. Case Rep Gastrointest Med. 2021;2021:1999931. doi:10.1155/2021/1999931. PMID: 34777882; PMCID: PMC8589525.
     [Google Scholar]
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Acute mesenteric ischemia in COVID-19: Case report and current understanding
Qatar Medical Journal 2022, 11 (2022); https://doi.org/10.5339/qmj.2022.11
/content/journals/10.5339/qmj.2022.11
/content/journals/10.5339/qmj.2022.11
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  • Article Type: Case Report
Keyword(s): COVID-19, Mesenteric ischemia, SARS-COV-2 and Thrombosis

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