Extrahepatic portal vein thrombosis in a pregnant patient with COVID-19: a rare thrombotic event survivor.

BMJ Case Reports
Mukta AgarwalDivendu Bhushan

Abstract

A COVID-19 infection predisposes the infected person to thrombotic events. Myocardial infarction, acute limb ischaemia, mesenteric artery thrombosis and pulmonary embolism are all well-documented complications of this infection. Here we describe a pregnant patient who presented with obstructed labour with asymptomatic COVID-19 infection and developed ascites during the postoperative period. Further work-up of the patient revealed portal hypertension due to portal vein thrombosis (PVT). As the patient was healthy before this index pregnancy, a causative link between COVID-19 and PVT cannot be ruled out. Her COVID-19 infection progressed to a moderate disease. She was managed with steroids and appropriate antibiotics for secondary bacterial peritonitis. She was finally discharged after 2.5 months of multidisciplinary treatment. This is a case of a survivor of complications due to pregnancy, COVID-19 and extrahepatic portal vein obstruction.

References

Jan 9, 2001·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·N AggarwalY Chawla
Jun 10, 2006·Liver International : Official Journal of the International Association for the Study of the Liver·Shiv Kumar SarinUNKNOWN Members of the APASL Working Party on Portal Hypertension
Apr 18, 2009·Anesthesia and Analgesia·Nigel Mackman
Mar 8, 2011·The Journal of Obstetrics and Gynaecology Research·Neelam AggarwalYogesh Kumar Chawla
Mar 11, 2015·Journal of Clinical and Experimental Hepatology·Neelam AggarwalRadha K Dhiman
Sep 19, 2015·Taiwanese Journal of Obstetrics & Gynecology·Murali SubbaiahNeeta Singh
Feb 3, 2016·The American Journal of Gastroenterology·Tram T TranNancy S Reau
Jun 8, 2018·Frontiers in Pediatrics·Brian R Branchford, Shannon L Carpenter

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