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Left gonadal vein thrombosis in a patient with COVID-19-associated coagulopathy
COVID-19 disease is a viral illness that predominantly causes pneumonia and severe acute respiratory distress syndrome. The endothelial injury and hypercoagulability secondary to the inflammatory response predisposes severely ill patients to venous thromboembolism. The exact mechanism of hypercoagul...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7477963/ https://www.ncbi.nlm.nih.gov/pubmed/32900740 http://dx.doi.org/10.1136/bcr-2020-236786 |
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author | Veyseh, Maedeh Pophali, Prateek Jayarangaiah, Apoorva Kumar, Abhishek |
author_facet | Veyseh, Maedeh Pophali, Prateek Jayarangaiah, Apoorva Kumar, Abhishek |
author_sort | Veyseh, Maedeh |
collection | PubMed |
description | COVID-19 disease is a viral illness that predominantly causes pneumonia and severe acute respiratory distress syndrome. The endothelial injury and hypercoagulability secondary to the inflammatory response predisposes severely ill patients to venous thromboembolism. The exact mechanism of hypercoagulability is still under investigation, but it is known to be associated with poor prognosis. The most common thrombotic complication reported among these patients is pulmonary embolism. To our knowledge, gonadal vein thrombosis is an uncommon phenomenon that has not been reported in the setting of COVID-19-associated coagulopathy. We report an unusual case of ovarian vein thrombosis and pulmonary embolism associated with COVID-19 presenting with abdominal pain. To our knowledge, this is the first reported case of COVID-19 with absent respiratory symptoms and presentation with venous thrombosis in an unusual location. |
format | Online Article Text |
id | pubmed-7477963 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-74779632020-09-21 Left gonadal vein thrombosis in a patient with COVID-19-associated coagulopathy Veyseh, Maedeh Pophali, Prateek Jayarangaiah, Apoorva Kumar, Abhishek BMJ Case Rep Unusual Presentation of More Common Disease/Injury COVID-19 disease is a viral illness that predominantly causes pneumonia and severe acute respiratory distress syndrome. The endothelial injury and hypercoagulability secondary to the inflammatory response predisposes severely ill patients to venous thromboembolism. The exact mechanism of hypercoagulability is still under investigation, but it is known to be associated with poor prognosis. The most common thrombotic complication reported among these patients is pulmonary embolism. To our knowledge, gonadal vein thrombosis is an uncommon phenomenon that has not been reported in the setting of COVID-19-associated coagulopathy. We report an unusual case of ovarian vein thrombosis and pulmonary embolism associated with COVID-19 presenting with abdominal pain. To our knowledge, this is the first reported case of COVID-19 with absent respiratory symptoms and presentation with venous thrombosis in an unusual location. BMJ Publishing Group 2020-09-07 /pmc/articles/PMC7477963/ /pubmed/32900740 http://dx.doi.org/10.1136/bcr-2020-236786 Text en © BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ. This article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.https://bmj.com/coronavirus/usage |
spellingShingle | Unusual Presentation of More Common Disease/Injury Veyseh, Maedeh Pophali, Prateek Jayarangaiah, Apoorva Kumar, Abhishek Left gonadal vein thrombosis in a patient with COVID-19-associated coagulopathy |
title | Left gonadal vein thrombosis in a patient with COVID-19-associated coagulopathy |
title_full | Left gonadal vein thrombosis in a patient with COVID-19-associated coagulopathy |
title_fullStr | Left gonadal vein thrombosis in a patient with COVID-19-associated coagulopathy |
title_full_unstemmed | Left gonadal vein thrombosis in a patient with COVID-19-associated coagulopathy |
title_short | Left gonadal vein thrombosis in a patient with COVID-19-associated coagulopathy |
title_sort | left gonadal vein thrombosis in a patient with covid-19-associated coagulopathy |
topic | Unusual Presentation of More Common Disease/Injury |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7477963/ https://www.ncbi.nlm.nih.gov/pubmed/32900740 http://dx.doi.org/10.1136/bcr-2020-236786 |
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