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Article ; Online: Splenic Infarction with Aortic Thrombosis in COVID-19.

Sztajnbok, Jaques / Brasil, Lucas Mendes Cunha de Resende / Romero, Luis Arancibia / Ribeiro, Ana Freitas / Vidal, Jose Ernesto / Figueiredo-Mello, Claudia / Malaque, Ceila Maria Sant' Ana

The American journal of the medical sciences

2021  Volume 362, Issue 4, Page(s) 418–423

Abstract: Coronavirus disease 2019 (COVID-19) has been associated with an increased risk of venous and arterial thrombotic disease. Although pulmonary embolism has been the most common thrombotic complication, there have been recent reports of COVID-19-associated ... ...

Abstract Coronavirus disease 2019 (COVID-19) has been associated with an increased risk of venous and arterial thrombotic disease. Although pulmonary embolism has been the most common thrombotic complication, there have been recent reports of COVID-19-associated large-vessel ischemic stroke, acute upper- and lower-limb ischemia, as well as infarctions of the abdominal viscera, including renal, splenic, and small bowel infarctions. Here, we describe a case of splenic infarction (SI) associated with aortic thrombosis, which evolved despite the prophylactic use of low-molecular-weight heparin (LMWH), in a 60-year-old female patient with COVID-19. The patient was treated clinically with a therapeutic dose of LMWH, followed by warfarin, and eventually presented a favorable outcome. We also present a review of the literature regarding SI in patients with COVID-19.
MeSH term(s) Aortic Diseases/virology ; COVID-19/complications ; COVID-19/diagnostic imaging ; Computed Tomography Angiography ; Female ; Humans ; Middle Aged ; Splenic Infarction/diagnostic imaging ; Splenic Infarction/virology ; Thrombosis/virology
Language English
Publishing date 2021-06-20
Publishing country United States
Document type Case Reports ; Journal Article ; Review
ZDB-ID 82078-7
ISSN 1538-2990 ; 0002-9629
ISSN (online) 1538-2990
ISSN 0002-9629
DOI 10.1016/j.amjms.2021.06.007
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