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Superior mesenteric vein and portal vein thrombosis in a patient with COVID-19: a rare case
A 68-year-old man was referred to the general surgeons on account of his abdominal pain of unknown cause. He had contracted COVID-19, 9 days prior. CT chest abdomen and pelvis revealed an extensive thrombus extending from the portal vein to the superior mesenteric vein. Further investigation ruled o...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8220528/ https://www.ncbi.nlm.nih.gov/pubmed/34158339 http://dx.doi.org/10.1136/bcr-2021-244049 |
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author | Jeilani, Milad Hill, Robert Riad, Mahmud Abdulaal, Yasser |
author_facet | Jeilani, Milad Hill, Robert Riad, Mahmud Abdulaal, Yasser |
author_sort | Jeilani, Milad |
collection | PubMed |
description | A 68-year-old man was referred to the general surgeons on account of his abdominal pain of unknown cause. He had contracted COVID-19, 9 days prior. CT chest abdomen and pelvis revealed an extensive thrombus extending from the portal vein to the superior mesenteric vein. Further investigation ruled out haematological causes, and COVID-19 was determined to be the cause. He was treated with an extended course of therapeutic dose low molecular weight heparin under the guidance of the haematology team. He was discharged once he was clinically stable and pain-free, with a plan to be followed up by both the surgeons and haematologists. This case highlights the different ways in which COVID-19 presents, and the need for clearer guidance on the treatment and prevention of thromboembolism in COVID-19. |
format | Online Article Text |
id | pubmed-8220528 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-82205282021-07-09 Superior mesenteric vein and portal vein thrombosis in a patient with COVID-19: a rare case Jeilani, Milad Hill, Robert Riad, Mahmud Abdulaal, Yasser BMJ Case Rep Case Report A 68-year-old man was referred to the general surgeons on account of his abdominal pain of unknown cause. He had contracted COVID-19, 9 days prior. CT chest abdomen and pelvis revealed an extensive thrombus extending from the portal vein to the superior mesenteric vein. Further investigation ruled out haematological causes, and COVID-19 was determined to be the cause. He was treated with an extended course of therapeutic dose low molecular weight heparin under the guidance of the haematology team. He was discharged once he was clinically stable and pain-free, with a plan to be followed up by both the surgeons and haematologists. This case highlights the different ways in which COVID-19 presents, and the need for clearer guidance on the treatment and prevention of thromboembolism in COVID-19. BMJ Publishing Group 2021-06-22 /pmc/articles/PMC8220528/ /pubmed/34158339 http://dx.doi.org/10.1136/bcr-2021-244049 Text en © BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ. https://bmj.com/coronavirus/usageThis 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. |
spellingShingle | Case Report Jeilani, Milad Hill, Robert Riad, Mahmud Abdulaal, Yasser Superior mesenteric vein and portal vein thrombosis in a patient with COVID-19: a rare case |
title | Superior mesenteric vein and portal vein thrombosis in a patient with COVID-19: a rare case |
title_full | Superior mesenteric vein and portal vein thrombosis in a patient with COVID-19: a rare case |
title_fullStr | Superior mesenteric vein and portal vein thrombosis in a patient with COVID-19: a rare case |
title_full_unstemmed | Superior mesenteric vein and portal vein thrombosis in a patient with COVID-19: a rare case |
title_short | Superior mesenteric vein and portal vein thrombosis in a patient with COVID-19: a rare case |
title_sort | superior mesenteric vein and portal vein thrombosis in a patient with covid-19: a rare case |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8220528/ https://www.ncbi.nlm.nih.gov/pubmed/34158339 http://dx.doi.org/10.1136/bcr-2021-244049 |
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