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Extrahepatic portal vein thrombosis in a pregnant patient with COVID-19: a rare thrombotic event survivor

A COVID-19 infection predisposes the infected person to thrombotic events. Myocardial infarction, acute limb ischaemia, mesenteric artery thrombosis and pulmonary embolism are all well-documented complications of this infection. Here we describe a pregnant patient who presented with obstructed labou...

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Autores principales: Agarwal, Mukta, Singh, Smita, Sinha, Upasna, Bhushan, Divendu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8362696/
https://www.ncbi.nlm.nih.gov/pubmed/34385221
http://dx.doi.org/10.1136/bcr-2021-243697
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author Agarwal, Mukta
Singh, Smita
Sinha, Upasna
Bhushan, Divendu
author_facet Agarwal, Mukta
Singh, Smita
Sinha, Upasna
Bhushan, Divendu
author_sort Agarwal, Mukta
collection PubMed
description A COVID-19 infection predisposes the infected person to thrombotic events. Myocardial infarction, acute limb ischaemia, mesenteric artery thrombosis and pulmonary embolism are all well-documented complications of this infection. Here we describe a pregnant patient who presented with obstructed labour with asymptomatic COVID-19 infection and developed ascites during the postoperative period. Further work-up of the patient revealed portal hypertension due to portal vein thrombosis (PVT). As the patient was healthy before this index pregnancy, a causative link between COVID-19 and PVT cannot be ruled out. Her COVID-19 infection progressed to a moderate disease. She was managed with steroids and appropriate antibiotics for secondary bacterial peritonitis. She was finally discharged after 2.5 months of multidisciplinary treatment. This is a case of a survivor of complications due to pregnancy, COVID-19 and extrahepatic portal vein obstruction.
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spelling pubmed-83626962021-08-30 Extrahepatic portal vein thrombosis in a pregnant patient with COVID-19: a rare thrombotic event survivor Agarwal, Mukta Singh, Smita Sinha, Upasna Bhushan, Divendu BMJ Case Rep Case Report A COVID-19 infection predisposes the infected person to thrombotic events. Myocardial infarction, acute limb ischaemia, mesenteric artery thrombosis and pulmonary embolism are all well-documented complications of this infection. Here we describe a pregnant patient who presented with obstructed labour with asymptomatic COVID-19 infection and developed ascites during the postoperative period. Further work-up of the patient revealed portal hypertension due to portal vein thrombosis (PVT). As the patient was healthy before this index pregnancy, a causative link between COVID-19 and PVT cannot be ruled out. Her COVID-19 infection progressed to a moderate disease. She was managed with steroids and appropriate antibiotics for secondary bacterial peritonitis. She was finally discharged after 2.5 months of multidisciplinary treatment. This is a case of a survivor of complications due to pregnancy, COVID-19 and extrahepatic portal vein obstruction. BMJ Publishing Group 2021-08-12 /pmc/articles/PMC8362696/ /pubmed/34385221 http://dx.doi.org/10.1136/bcr-2021-243697 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
Agarwal, Mukta
Singh, Smita
Sinha, Upasna
Bhushan, Divendu
Extrahepatic portal vein thrombosis in a pregnant patient with COVID-19: a rare thrombotic event survivor
title Extrahepatic portal vein thrombosis in a pregnant patient with COVID-19: a rare thrombotic event survivor
title_full Extrahepatic portal vein thrombosis in a pregnant patient with COVID-19: a rare thrombotic event survivor
title_fullStr Extrahepatic portal vein thrombosis in a pregnant patient with COVID-19: a rare thrombotic event survivor
title_full_unstemmed Extrahepatic portal vein thrombosis in a pregnant patient with COVID-19: a rare thrombotic event survivor
title_short Extrahepatic portal vein thrombosis in a pregnant patient with COVID-19: a rare thrombotic event survivor
title_sort extrahepatic portal vein thrombosis in a pregnant patient with covid-19: a rare thrombotic event survivor
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8362696/
https://www.ncbi.nlm.nih.gov/pubmed/34385221
http://dx.doi.org/10.1136/bcr-2021-243697
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