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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer India
2020
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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. |
format | Online Article Text |
id | pubmed-7571302 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer India |
record_format | MEDLINE/PubMed |
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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