tetano
Editor, Senior Moderator
Am J Case Rep
. 2020 Sep 24;21:e926785.
doi: 10.12659/AJCR.926785.
A 29-Year-Old Male Construction Worker from India Who Presented with Left- Sided Abdominal Pain Due to Isolated Superior Mesenteric Vein Thrombosis Associated with SARS-CoV-2 Infection
Suresh Kumar Thuluva[SUP] 1 [/SUP], Hongguang Zhu[SUP] 2 [/SUP], Mark M L Tan[SUP] 1 [/SUP], Saurav Gupta[SUP] 1 [/SUP], Kuan Yuen Yeong[SUP] 1 [/SUP], See Toh Cheong Wah[SUP] 1 [/SUP], Li Lin[SUP] 2 [/SUP], Eng Soo Yap[SUP] 3 [/SUP]
Affiliations
Abstract
BACKGROUND In corona virus disease 2019 (COVID-19), which emerged in December 2019 and is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), most case presentations have been related to the respiratory tract. Several recent studies reveal that angiotensin-converting enzyme 2 (ACE2), which was found in the target cells of the virus, is highly expressed in the lungs, small bowel, and vasculature. CASE REPORT A 29-year-old male construction worker from India presented with left-sided colicky abdominal pain. He tested positive for infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) by reverse transcription-polymerase chain reaction (RT-PCR). Isolated superior mesenteric vein thrombosis was diagnosed by CT (computed tomography) scan. He was managed by anti-coagulants and clinically improved. CONCLUSIONS This case report indicates that isolated venous thrombosis of the abdominal vessels without concurrent arterial thrombosis can be a complication of the hyper-coagulability state in COVID-19 patients. Hence, early evaluation of abdominal vessels in covid-19 patients who present with any abdominal symptoms should be considered, especially when found to have an elevated D-dimer level, as early treatment of thrombosis with low-molecular-weight heparin can have a significant impact on the therapeutic outcome.
. 2020 Sep 24;21:e926785.
doi: 10.12659/AJCR.926785.
A 29-Year-Old Male Construction Worker from India Who Presented with Left- Sided Abdominal Pain Due to Isolated Superior Mesenteric Vein Thrombosis Associated with SARS-CoV-2 Infection
Suresh Kumar Thuluva[SUP] 1 [/SUP], Hongguang Zhu[SUP] 2 [/SUP], Mark M L Tan[SUP] 1 [/SUP], Saurav Gupta[SUP] 1 [/SUP], Kuan Yuen Yeong[SUP] 1 [/SUP], See Toh Cheong Wah[SUP] 1 [/SUP], Li Lin[SUP] 2 [/SUP], Eng Soo Yap[SUP] 3 [/SUP]
Affiliations
- PMID: 32970653
- DOI: 10.12659/AJCR.926785
Abstract
BACKGROUND In corona virus disease 2019 (COVID-19), which emerged in December 2019 and is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), most case presentations have been related to the respiratory tract. Several recent studies reveal that angiotensin-converting enzyme 2 (ACE2), which was found in the target cells of the virus, is highly expressed in the lungs, small bowel, and vasculature. CASE REPORT A 29-year-old male construction worker from India presented with left-sided colicky abdominal pain. He tested positive for infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) by reverse transcription-polymerase chain reaction (RT-PCR). Isolated superior mesenteric vein thrombosis was diagnosed by CT (computed tomography) scan. He was managed by anti-coagulants and clinically improved. CONCLUSIONS This case report indicates that isolated venous thrombosis of the abdominal vessels without concurrent arterial thrombosis can be a complication of the hyper-coagulability state in COVID-19 patients. Hence, early evaluation of abdominal vessels in covid-19 patients who present with any abdominal symptoms should be considered, especially when found to have an elevated D-dimer level, as early treatment of thrombosis with low-molecular-weight heparin can have a significant impact on the therapeutic outcome.