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Updated: Oct 30, 2025

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
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.
Background:
Coronavirus disease 2019 (COVID-19) virus has affected all the systems of the body, defying all impressions of it being a respiratory virus only.
Aim:
To see the association of mesenteric ischemia with COVID-19.
Methods:
After initial screening and filtering of the titles on PubMed and Google Scholar, 124 articles were selected. Articles were read in full, and the references were skimmed for relevance. Twenty-six articles (case reports and case series) were found to eligible for inclusion. References of these 26 articles were checked for any additional cases. Two more publications were found, and a total of 28 articles (22 case reports and 6 case series) have been included for review in this manuscript.
Results:
A total of 41 cases of acute mesenteric ischemia in COVID-19 patients have been reported in the literature since the outbreak of this pandemic. Most of them include patients with comorbidities.
Conclusion:
In conclusion, based on this literature review and precise published knowledge regarding acute mesenteric ischemia in patients with COVID-19, it is essential to understand its relevance in all patients with gastrointestinal symptoms. The threshold for the diagnostic investigations should also be kept low for the timely diagnosis and management of this disorder.
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