Abstract

PARRELA, Vinícius C. et al. Post-COVID-19 superior mesenteric artery and jejunal branches thromboembolism. Medicina (B. Aires) [online]. 2022, vol.82, n.5, pp.777-780. ISSN 0025-7680.

The World Health Organization has declared the novel coronavirus disease 2019 (COVID-19) a global public health emergency. Despite the predominating respiratory symptoms occurring in COVID-19, thrombosis can occur in some patients, with morbidity and mortality increase due to the respiratory worsening. This article reports the case of a 62-year-old man with a flu-like illness that was diagnosed as CO VID-19 by RT-PCR of SARS-CoV-2. After three weeks, he subsequently developed abdominal pain in addition to bloating, nausea, and vomiting. He underwent exploratory laparotomy after imaging tests suggested mesenteric ischemia. Intestinal ischemia was evident, due to the absence of flow in the superior mesenteric artery and jejunal branches. Embolectomy and enterectomy were performed and they resulted in a favorable outcome, with clinical improvement. This case adds data to the limited literature on extrapulmonary complications of COVID-19, notably those related to thromboembolic events.

Keywords : COVID-19; SARS-CoV-2 infection; Thromboembolism; Mesenteric ischemia; Acute abdomen.

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