Mesenteric ischemia in COVID-19 patients: A review of current literature

Asad Ali Kerawala1, Bhagwan Das2, Ahda Solangi3

  • 1Department of Surgery, Cancer Foundation Hospital, Karachi 75300, Pakistan. asadali4@yahoo.com.

Insights

Coronavirus disease 2019 (COVID-19) can cause acute mesenteric ischemia, a serious condition affecting the gut. Early diagnosis and investigation are crucial for patients with gastrointestinal symptoms during the pandemic.

Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Vascular Surgery

Background:

  • Coronavirus disease 2019 (COVID-19) impacts multiple organ systems, not just the respiratory tract.
  • The systemic effects of COVID-19 can manifest in various ways, including vascular complications.

Purpose of the Study:

  • To investigate the association between COVID-19 infection and acute mesenteric ischemia.
  • To review and synthesize existing literature on this specific complication.

Main Methods:

  • A comprehensive literature search was conducted on PubMed and Google Scholar.
  • Articles were screened, and relevant case reports and case series were included for review.
  • References from selected articles were further reviewed to identify additional cases.

Main Results:

  • A total of 41 cases of acute mesenteric ischemia in COVID-19 patients were identified in the literature.
  • The majority of these cases involved patients with pre-existing comorbidities.
  • The review included 22 case reports and 6 case series.

Conclusions:

  • Acute mesenteric ischemia is a recognized complication of COVID-19.
  • It is crucial to consider mesenteric ischemia in COVID-19 patients presenting with gastrointestinal symptoms.
  • A low threshold for diagnostic investigations is recommended for prompt diagnosis and management.
Abstract

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