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Superior Mesenteric Artery Thrombosis in COVID-19 Pneumonia: an Underestimated Diagnosis—First Case Report in Asia

The COVID-19 disease caused by novel coronavirus was first reported in Wuhan, China, in December 2019 with 5% patients having severe lung injury. Though this disease primarily presents as a lower respiratory tract infection, multiple digestive manifestations have been reported which are often overlo...

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Autores principales: Karna, Sunaina Tejpal, Panda, Rajesh, Maurya, Ajeet Pratap, Kumari, Shashi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer India 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7571302/
https://www.ncbi.nlm.nih.gov/pubmed/33100738
http://dx.doi.org/10.1007/s12262-020-02638-5
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author Karna, Sunaina Tejpal
Panda, Rajesh
Maurya, Ajeet Pratap
Kumari, Shashi
author_facet Karna, Sunaina Tejpal
Panda, Rajesh
Maurya, Ajeet Pratap
Kumari, Shashi
author_sort Karna, Sunaina Tejpal
collection PubMed
description The COVID-19 disease caused by novel coronavirus was first reported in Wuhan, China, in December 2019 with 5% patients having severe lung injury. Though this disease primarily presents as a lower respiratory tract infection, multiple digestive manifestations have been reported which are often overlooked. The present case report describes the unusual progression of COVID-19 disease from pneumonia to a procoagulant state leading to superior mesenteric artery thrombosis and subsequent gut ischemia necessitating emergency laparotomy. Coagulopathy in COVID-19 is due to an imbalance in the coagulation homeostasis with increase in prothrombin time, fibrinogen, and D-dimers. Early recognition of abdominal symptoms, diagnosis of pathology, and timely surgical intervention may definitely improve outcome. In the management of any patient with COVID-19 disease, we advocate a comprehensive integrated approach with early recognition of digestive symptoms and their timely intervention which should run parallel to the respiratory management.
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spelling pubmed-75713022020-10-20 Superior Mesenteric Artery Thrombosis in COVID-19 Pneumonia: an Underestimated Diagnosis—First Case Report in Asia Karna, Sunaina Tejpal Panda, Rajesh Maurya, Ajeet Pratap Kumari, Shashi Indian J Surg Case Report The COVID-19 disease caused by novel coronavirus was first reported in Wuhan, China, in December 2019 with 5% patients having severe lung injury. Though this disease primarily presents as a lower respiratory tract infection, multiple digestive manifestations have been reported which are often overlooked. The present case report describes the unusual progression of COVID-19 disease from pneumonia to a procoagulant state leading to superior mesenteric artery thrombosis and subsequent gut ischemia necessitating emergency laparotomy. Coagulopathy in COVID-19 is due to an imbalance in the coagulation homeostasis with increase in prothrombin time, fibrinogen, and D-dimers. Early recognition of abdominal symptoms, diagnosis of pathology, and timely surgical intervention may definitely improve outcome. In the management of any patient with COVID-19 disease, we advocate a comprehensive integrated approach with early recognition of digestive symptoms and their timely intervention which should run parallel to the respiratory management. Springer India 2020-10-19 2020-12 /pmc/articles/PMC7571302/ /pubmed/33100738 http://dx.doi.org/10.1007/s12262-020-02638-5 Text en © Association of Surgeons of India 2020 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Case Report
Karna, Sunaina Tejpal
Panda, Rajesh
Maurya, Ajeet Pratap
Kumari, Shashi
Superior Mesenteric Artery Thrombosis in COVID-19 Pneumonia: an Underestimated Diagnosis—First Case Report in Asia
title Superior Mesenteric Artery Thrombosis in COVID-19 Pneumonia: an Underestimated Diagnosis—First Case Report in Asia
title_full Superior Mesenteric Artery Thrombosis in COVID-19 Pneumonia: an Underestimated Diagnosis—First Case Report in Asia
title_fullStr Superior Mesenteric Artery Thrombosis in COVID-19 Pneumonia: an Underestimated Diagnosis—First Case Report in Asia
title_full_unstemmed Superior Mesenteric Artery Thrombosis in COVID-19 Pneumonia: an Underestimated Diagnosis—First Case Report in Asia
title_short Superior Mesenteric Artery Thrombosis in COVID-19 Pneumonia: an Underestimated Diagnosis—First Case Report in Asia
title_sort superior mesenteric artery thrombosis in covid-19 pneumonia: an underestimated diagnosis—first case report in asia
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7571302/
https://www.ncbi.nlm.nih.gov/pubmed/33100738
http://dx.doi.org/10.1007/s12262-020-02638-5
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