A Rare Case of COVID-19 Pneumonia Concomitant with Bleeding from Acute Gastric Mucosal Lesions

A 70-year-old man was diagnosed with coronavirus disease 2019 (COVID-19) pneumonia. Twenty-six days after admission, he experienced hematemesis despite improvement in his respiratory symptoms. Contrast-enhanced computed tomography revealed edematous stomach wall thickening with neither ischemic find...

Descripción completa

Detalles Bibliográficos
Autores principales: Kawabata, Hideaki, Yamaguchi, Katsutoshi, Ueda, Yuki, Shinomiya, Ryo, Okazaki, Yuji, Yamamoto, Tetsuya, Nakase, Kojiro, Miyata, Masatoshi, Motoi, Shigehiro, Enoki, Yasuyuki, Minamikawa, Tetsuhiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8627797/
https://www.ncbi.nlm.nih.gov/pubmed/34719626
http://dx.doi.org/10.2169/internalmedicine.7803-21
_version_ 1784606886326173696
author Kawabata, Hideaki
Yamaguchi, Katsutoshi
Ueda, Yuki
Shinomiya, Ryo
Okazaki, Yuji
Yamamoto, Tetsuya
Nakase, Kojiro
Miyata, Masatoshi
Motoi, Shigehiro
Enoki, Yasuyuki
Minamikawa, Tetsuhiro
author_facet Kawabata, Hideaki
Yamaguchi, Katsutoshi
Ueda, Yuki
Shinomiya, Ryo
Okazaki, Yuji
Yamamoto, Tetsuya
Nakase, Kojiro
Miyata, Masatoshi
Motoi, Shigehiro
Enoki, Yasuyuki
Minamikawa, Tetsuhiro
author_sort Kawabata, Hideaki
collection PubMed
description A 70-year-old man was diagnosed with coronavirus disease 2019 (COVID-19) pneumonia. Twenty-six days after admission, he experienced hematemesis despite improvement in his respiratory symptoms. Contrast-enhanced computed tomography revealed edematous stomach wall thickening with neither ischemic findings in the gastric wall nor obstruction of the gastric artery. Emergent esophagogastroduodenoscopy showed diffuse dark-red mucosa accompanied by multiple easy-bleeding, irregularly shaped ulcers throughout almost the whole stomach without active bleeding or visible vessels. The clinical course, including the endoscopic findings, progressed favorably with conservative treatment. COVID-19 pneumonia can present with acute gastric mucosal lesion, which may be induced by microvascular thrombosis due to COVID-19-related coagulopathy.
format Online
Article
Text
id pubmed-8627797
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher The Japanese Society of Internal Medicine
record_format MEDLINE/PubMed
spelling pubmed-86277972021-12-10 A Rare Case of COVID-19 Pneumonia Concomitant with Bleeding from Acute Gastric Mucosal Lesions Kawabata, Hideaki Yamaguchi, Katsutoshi Ueda, Yuki Shinomiya, Ryo Okazaki, Yuji Yamamoto, Tetsuya Nakase, Kojiro Miyata, Masatoshi Motoi, Shigehiro Enoki, Yasuyuki Minamikawa, Tetsuhiro Intern Med Case Report A 70-year-old man was diagnosed with coronavirus disease 2019 (COVID-19) pneumonia. Twenty-six days after admission, he experienced hematemesis despite improvement in his respiratory symptoms. Contrast-enhanced computed tomography revealed edematous stomach wall thickening with neither ischemic findings in the gastric wall nor obstruction of the gastric artery. Emergent esophagogastroduodenoscopy showed diffuse dark-red mucosa accompanied by multiple easy-bleeding, irregularly shaped ulcers throughout almost the whole stomach without active bleeding or visible vessels. The clinical course, including the endoscopic findings, progressed favorably with conservative treatment. COVID-19 pneumonia can present with acute gastric mucosal lesion, which may be induced by microvascular thrombosis due to COVID-19-related coagulopathy. The Japanese Society of Internal Medicine 2021-11-01 2021-11-01 /pmc/articles/PMC8627797/ /pubmed/34719626 http://dx.doi.org/10.2169/internalmedicine.7803-21 Text en Copyright © 2021 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Kawabata, Hideaki
Yamaguchi, Katsutoshi
Ueda, Yuki
Shinomiya, Ryo
Okazaki, Yuji
Yamamoto, Tetsuya
Nakase, Kojiro
Miyata, Masatoshi
Motoi, Shigehiro
Enoki, Yasuyuki
Minamikawa, Tetsuhiro
A Rare Case of COVID-19 Pneumonia Concomitant with Bleeding from Acute Gastric Mucosal Lesions
title A Rare Case of COVID-19 Pneumonia Concomitant with Bleeding from Acute Gastric Mucosal Lesions
title_full A Rare Case of COVID-19 Pneumonia Concomitant with Bleeding from Acute Gastric Mucosal Lesions
title_fullStr A Rare Case of COVID-19 Pneumonia Concomitant with Bleeding from Acute Gastric Mucosal Lesions
title_full_unstemmed A Rare Case of COVID-19 Pneumonia Concomitant with Bleeding from Acute Gastric Mucosal Lesions
title_short A Rare Case of COVID-19 Pneumonia Concomitant with Bleeding from Acute Gastric Mucosal Lesions
title_sort rare case of covid-19 pneumonia concomitant with bleeding from acute gastric mucosal lesions
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8627797/
https://www.ncbi.nlm.nih.gov/pubmed/34719626
http://dx.doi.org/10.2169/internalmedicine.7803-21
work_keys_str_mv AT kawabatahideaki ararecaseofcovid19pneumoniaconcomitantwithbleedingfromacutegastricmucosallesions
AT yamaguchikatsutoshi ararecaseofcovid19pneumoniaconcomitantwithbleedingfromacutegastricmucosallesions
AT uedayuki ararecaseofcovid19pneumoniaconcomitantwithbleedingfromacutegastricmucosallesions
AT shinomiyaryo ararecaseofcovid19pneumoniaconcomitantwithbleedingfromacutegastricmucosallesions
AT okazakiyuji ararecaseofcovid19pneumoniaconcomitantwithbleedingfromacutegastricmucosallesions
AT yamamototetsuya ararecaseofcovid19pneumoniaconcomitantwithbleedingfromacutegastricmucosallesions
AT nakasekojiro ararecaseofcovid19pneumoniaconcomitantwithbleedingfromacutegastricmucosallesions
AT miyatamasatoshi ararecaseofcovid19pneumoniaconcomitantwithbleedingfromacutegastricmucosallesions
AT motoishigehiro ararecaseofcovid19pneumoniaconcomitantwithbleedingfromacutegastricmucosallesions
AT enokiyasuyuki ararecaseofcovid19pneumoniaconcomitantwithbleedingfromacutegastricmucosallesions
AT minamikawatetsuhiro ararecaseofcovid19pneumoniaconcomitantwithbleedingfromacutegastricmucosallesions
AT kawabatahideaki rarecaseofcovid19pneumoniaconcomitantwithbleedingfromacutegastricmucosallesions
AT yamaguchikatsutoshi rarecaseofcovid19pneumoniaconcomitantwithbleedingfromacutegastricmucosallesions
AT uedayuki rarecaseofcovid19pneumoniaconcomitantwithbleedingfromacutegastricmucosallesions
AT shinomiyaryo rarecaseofcovid19pneumoniaconcomitantwithbleedingfromacutegastricmucosallesions
AT okazakiyuji rarecaseofcovid19pneumoniaconcomitantwithbleedingfromacutegastricmucosallesions
AT yamamototetsuya rarecaseofcovid19pneumoniaconcomitantwithbleedingfromacutegastricmucosallesions
AT nakasekojiro rarecaseofcovid19pneumoniaconcomitantwithbleedingfromacutegastricmucosallesions
AT miyatamasatoshi rarecaseofcovid19pneumoniaconcomitantwithbleedingfromacutegastricmucosallesions
AT motoishigehiro rarecaseofcovid19pneumoniaconcomitantwithbleedingfromacutegastricmucosallesions
AT enokiyasuyuki rarecaseofcovid19pneumoniaconcomitantwithbleedingfromacutegastricmucosallesions
AT minamikawatetsuhiro rarecaseofcovid19pneumoniaconcomitantwithbleedingfromacutegastricmucosallesions

Ejemplares similares