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Article ; Online: 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 reports

2021  Volume 14, Issue 6

Abstract: ... haematologists. This case highlights the different ways in which COVID-19 presents, and the need for clearer ... thrombus extending from the portal vein to the superior mesenteric vein. Further investigation ruled out ... cause. He had contracted COVID-19, 9 days prior. CT chest abdomen and pelvis revealed an extensive ...

Abstract 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.
MeSH term(s) Aged ; COVID-19 ; Humans ; Male ; Mesenteric Veins/diagnostic imaging ; Portal Vein/diagnostic imaging ; SARS-CoV-2 ; Thrombosis
Language English
Publishing date 2021-06-22
Publishing country England
Document type Case Reports ; Journal Article
ISSN 1757-790X
ISSN (online) 1757-790X
DOI 10.1136/bcr-2021-244049
Database MEDical Literature Analysis and Retrieval System OnLINE

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