CASE REPORT
Year : 2021  |  Volume : 8  |  Issue : 5  |  Page : 75-76

Early catheter-directed thrombolysis without bowel resection in acute mesenteric ischaemia for a symptomatic COVID-19 patient


1 Department of Vascular and Endovascular Surgery, Holy Spirit Hospital, Mumbai, Maharashtra, India
2 Department of General Medicine, Holy Spirit Hospital, Mumbai, Maharashtra, India
3 Department of Radiodiagnosis, Holy Spirit Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Aniruddha Sanjoy Bhuiyan
Department of Vascular and Endovascular Surgery, Holy Spirit Hospital, Mumbai, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijves.ijves_128_20

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Newer evidence states that COVID-19 pneumonia induces a hypercoagulable state leading to vascular and microvascular thrombotic events. Acute mesenteric ischaemia (AMI) is a potentially fatal vascular emergency with overall mortality of 60%–80%.However, till date, only a few cases of superior mesenteric artery thrombosis in COVID-19 positive patients are reported and most have succumbed to COVID-19 or mesenteric ischemia. Physicians treating COVID-19 usually treat respiratory symptoms and may completely overlook any other uncommon pathology. This case report emphasizes that a patient with early detection and management of acute mesenteric ischaemia being symptomatic for COVID-19 can avoid major bowel surgery and negates any morbidity or mortality associated with the same.


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