Acute arterial occlusion of the lower limb as the main clinical manifestation in a patient with Covid-19 - Case Report

International Journal of Surgery Case Reports
Víctor de Oliveira CostaDavi Pinto Colen

Abstract

COVID-19 infection may predispose to venous and arterial thromboembolism due to excessive inflammation, hypoxia, immobilization and disseminated intravascular coagulation; however, there are few reports of lower limb ischemia as the main manifestation of the disease. Male patient, 69 years old, asthmatic, ex-smoker and bearer of systemic arterial hypertension, has been admitted to the emergency department with sudden onset of pain in the right lower limb (RLL), associated with cyanosis and reduced temperature of the limb. He has been tested for COVID-19 in the OR with positive result for IGG and IGM. Computed tomography angiography (AngioCT) was performed, showing signs of arterial embolization to both limbs, right internal iliac artery, and superior mesenteric artery. Faced with the threat of limb loss and the absence of signs and symptoms of visceral ischemia, the patient underwent full anticoagulation and RLL thromboembolectomy and tricompartmental fasciotomy. He was discharged after 7 days of hospitalization and demonstrated no other signs and symptoms of COVID-19, following outpatient follow-up. COVID-19 is associated with high risk of thrombotic complications being related to the clinical severity of the patient, with few...Continue Reading

References

Apr 1, 2020·European Heart Journal·Gian Battista DanziElisa Gherbesi
Apr 22, 2020·The American Journal of Emergency Medicine·Kyla CaseyJonathan Auten
Apr 25, 2020·Circulation·Julien PoissyUNKNOWN Lille ICU Haemostasis COVID-19 Group
May 1, 2020·Thrombosis Research·Corrado LodigianiUNKNOWN Humanitas COVID-19 Task Force
May 6, 2020·Intensive Care Medicine·Julie HelmsUNKNOWN CRICS TRIGGERSEP Group (Clinical Research in Intensive Care and Sepsis Trial Group for Global Evaluation and Research in Sep
Jun 3, 2020·Thrombosis Research·Fatimah Al-AniAlejandro Lazo-Langner
Jun 21, 2020·Critical Care : the Official Journal of the Critical Care Forum·Sophie SusenUNKNOWN GIHP and GFHT
Aug 25, 2020·JACC. Case Reports·Bastien WoehlAmer Hamade

❮ Previous
Next ❯

Citations

May 4, 2021·Annals of Vascular Surgery·Maria Pia BorrelliPaolo Frigatti

❮ Previous
Next ❯

Methods Mentioned

BETA
SMA

Related Concepts

Related Feeds

Asthma

This feed focuses in Asthma in which your airways narrow and swell. This can make breathing difficult and trigger coughing, wheezing and shortness of breath.

Allergy and Asthma

Allergy and asthma are inflammatory disorders that are triggered by the activation of an allergen-specific regulatory t cell. These t cells become activated when allergens are recognized by allergen-presenting cells. Here is the latest research on allergy and asthma.

Related Papers

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
Asterios N KatsamourisE Dretakis
American Journal of Surgery
J P GertlerG Varughese
© 2021 Meta ULC. All rights reserved