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Updated: Oct 31, 2025

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
COVID-19 and gastrointestinal symptoms: A case report of a Mesenteric Large vessel obstruction
Souhir Nasseh1, Med Mehdi Trabelsi1, Anouer Oueslati1
1Department B of General Surgery Faculty of Medicine of Tunis Charles Nicolle Hospital Tunis El Manar University Tunis Tunisia.
Insights
Coronavirus disease (COVID-19) cases are rising globally. A rare but serious complication, mesenteric ischemia caused by blood clots in major digestive vessels, may be a new clinical presentation of COVID-19.
Area of Science:
- Internal Medicine
- Infectious Diseases
- Vascular Surgery
Background:
- The global increase in COVID-19 cases necessitates awareness of its diverse clinical manifestations.
- Early diagnosis and isolation are crucial for patient care and preventing healthcare worker infections.
Observation:
- Thrombogenesis (blood clot formation) has been noted in some COVID-19 patients.
- A specific case of thrombosis affecting a large digestive vessel in a COVID-19 patient is presented.
Findings:
- The study documents, for the first time, a thrombosis of a large mesenteric vessel in the context of COVID-19 infection.
- This suggests mesenteric ischemia as a potential, previously undocumented, clinical presentation of SARS-CoV-2.
Implications:
- Increased awareness of this atypical presentation can aid in the prompt diagnosis and management of COVID-19 patients.
- Recognizing mesenteric ischemia as a possible COVID-19 complication may improve patient outcomes and reduce disease spread.
Abstract:
COVID-19 cases are increasing daily worldwide. With such emerging disease, the medical community should be aware of atypical clinical presentations in order to help with correct diagnosis, and to take the proper measures to isolate and treat patients to avoid healthcare professionals being infected and to limit its spread (SARS-CoV-2). Thrombogenesis in COVID-19 has been described in few cases, but a thrombosis of a large digestive vessel has not been documented so far. Mesenteric ischemia due to an obstruction of a large vessel may be a new presentation of COVID-19 infection.
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