COVID-19-Associated Superior Mesenteric Artery Thrombosis and Acute Intestinal Ischemia

Fernando D Segovia; Sarah Ream; The Dang; Bhanu T Chaganti; Andrew J Ortega; Seunghong Rhee; Jorge C Borges

doi:10.7759/cureus.27722

COVID-19-Associated Superior Mesenteric Artery Thrombosis and Acute Intestinal Ischemia

Cureus. 2022 Aug 5;14(8):e27722. doi: 10.7759/cureus.27722. eCollection 2022 Aug.

Authors

Fernando D Segovia¹, Sarah Ream², The Dang¹, Bhanu T Chaganti³, Andrew J Ortega¹, Seunghong Rhee⁴, Jorge C Borges³

Affiliations

¹ Internal Medicine, Texas Tech University Health Sciences Center, El Paso, USA.
² Internal Medicine, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center, El Paso, USA.
³ Cardiovascular Medicine, Texas Tech University Health Sciences Center, El Paso, USA.
⁴ Radiology, Texas Tech University Health Sciences Center, El Paso, USA.

Abstract

The prothrombotic nature of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has been well-established since the start of the global coronavirus disease 2019 (COVID-19) pandemic. Mesenteric artery thrombosis and acute mesenteric ischemia are, on their own, rare occurrences and often present with fatal gastrointestinal (GI) pathologies requiring quick identification and intervention by the clinician to improve clinical outcomes. SARS-CoV-2 infection can present with acute GI pathologies and warrants further investigation regarding anticoagulation therapy in COVID-19 positive patients. We report on a 64-year-old woman infected with SARS-CoV-2 who presented with superior mesenteric artery thrombosis and acute intestinal ischemia.

Keywords: acute gi pathology; bowel; covid-19; covid-19 associated coagulopathy; gastrointestinal; ischemia; mesenteric; sars-cov-2 (severe acute respiratory syndrome coronavirus -2); thrombus; vascular.

Publication types

Case Reports