Acute mesenteric arterial thrombosis in severe SARS-Co-2 patient: A case report and literature review

Int J Surg Case Rep. 2021 Aug 11:86:106307. doi: 10.1016/j.ijscr.2021.106307. eCollection 2021 Sep.

Abstract

Introduction: CoV-2 infection generates a pro-inflammatory state, which conditions the formation of thrombi that can affect any system. Multi-organ dysfunction is a cause of death, mesenteric ischemia in COVID 2019 patients reported is 1.9-4%.

Description of the case: We present the case of a 73-year-old male patient who started with severe SARS-CoV-2 and arterial-type intestinal ischemia, necrosis of 3 m of the small intestine, based on SCARE 2020 guide.

Discussion: Complications secondary to thrombosis are as follows; myocardial infarction 1.1%, ischemic cerebral events, 2.5-3.7%, microvascular thrombosis including mesenteric ischemia in less than 1% of cases. In patients with mesenteric ischemia the reported postoperative mortality is 23.8% of patients especially during the first 30 days.

Conclusion: Intestinal thrombosis in patients with SARS-CoV-2 increases mortality.

Keywords: CoV-2 induced thrombosis; Mesenteric ischemia; SARS-CoV-2.

Publication types

  • Case Reports