Article: Splenic infarction as a complication of covid-19 in a patient without respiratory symptoms: A case report and literature review.
2021 Volume 24, Page(s) e01062
Abstract: ... in the literature, cases of acute abdomen in COVID-19 patients associated with vascular infarctions have increased ... with no respiratory symptoms, presented with abdominal pain and an extensive splenic infarction after ... COVID-19.: Case report: A 67 year-old man was admitted to the emergency department with a moderate ...
| Abstract | Introduction: Multiple studies suggest that SARS-CoV-2 infection is associated with a pro-thrombotic state and thrombotic events have been recorded in several organs and systems. We report a patient with no respiratory symptoms, presented with abdominal pain and an extensive splenic infarction after COVID-19. Case report: A 67 year-old man was admitted to the emergency department with a moderate, dull, left-sided abdominal pain. The patient denied respiratory symptoms but referred contact with family members positive for COVID-19. He tested positive for COVID-19 and had increased D-dimer levels. Imaging studies revealed splenic infarcts and ground-glass opacities in bilateral pulmonary bases. He was treated with full-dose anticoagulation and was discharged home on oral Rivaroxaban. Discussion: Although rare in the literature, cases of acute abdomen in COVID-19 patients associated with vascular infarctions have increased. Coagulopathy may be present even without clinical respiratory manifestations of the disease. Patients meeting disseminated intravascular coagulation criteria or with markedly elevated D-dimer may benefit from anticoagulant therapy. Conclusion: Clinicians should suspect of abdominal visceral infarctions in COVID-19 patients presented with acute abdominal pain, despite the absence of respiratory symptoms. |
|---|---|
| Language | English |
| Publishing date | 2021-03-20 |
| Publishing country | Netherlands |
| Document type | Case Reports |
| ZDB-ID | 2745454-X |
| ISSN | 2214-2509 |
| ISSN | 2214-2509 |
| DOI | 10.1016/j.idcr.2021.e01062 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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