Staged acute mesenteric and peripheral ischemia treatment in COVID-19 patient: Case report.

International Journal of Surgery Case Reports
E DinotoF Pecoraro

Abstract

COVID-19 is an infectious disease that has been associated not only with respiratory complications. The COVID-19 disease includes, also damage to other organ systems as well as coagulopathy. The present report describes a case of COVID-19 presenting with acute mesenteric ischemia (AMI) and subsequent acute limb ischemia (ALI). An 84-years old hospitalized female patient presenting diabetes and recent COVID-19 reported acute onset of abdominal pain and typical findings of AMI. The CT-angiography confirmed the AMI secondary to a superior mesenteric artery (SMA) occlusion. The patient was managed through an endovascular approach using a SMA mechanical thrombectomy and stenting with a good result. Treatment of this life-threatening condition includes surgical resection of the necrotic bowel, restoration of blood flow to the ischemic intestine and supportive measure - gastrointestinal decompression, fluid resuscitation, hemodynamic support. Endovascular management of AMI is preferred over the standard surgical approach due to a reduced mortality and morbidity rates. Imaging findings of intestinal necrosis, however, represent an indication for AMI surgical treatment with explorative laparotomy. Different endovascular solutions have b...Continue Reading

References

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Oct 13, 2020·International Journal of Surgery Case Reports·Ettore DinotoGuido Bajardi
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Citations

Aug 16, 2021·International Journal of Surgery Case Reports·Montserrat Del Carmen Valencia RomeroMarisol Tello Jiménez
Oct 5, 2021·International Journal of Clinical Practice·Suyog PatelMadeeha Subhan Waleed

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