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Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Acute mesenteric ischemia in COVID-19: Case report and current understanding
Saurabh Chandrakar1, Priyanka Sangadala1, Megha Gupta1
1Department of Anaesthesia and Critical Care. AIIMS Rishikesh, Uttarakhand, India.
Insights
Coronavirus disease 2019 (COVID-19) can cause acute mesenteric ischemia (AMI), a serious condition. Early recognition and prompt treatment are crucial for patient survival, as demonstrated in these case studies.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Vascular Surgery
Background:
- Coronavirus disease 2019 (COVID-19) has been associated with various thrombotic complications.
- Acute mesenteric ischemia (AMI) is a rare but severe gastrointestinal complication of COVID-19.
Observation:
- Two cases of COVID-19-related AMI are presented.
- Both patients required emergency laparotomy for small bowel ischemia.
Findings:
- Prompt intervention in the first patient led to a 5-day post-operative discharge.
- Delayed presentation in the second patient resulted in mortality 72 hours after surgery.
Implications:
- These cases underscore the critical need for high clinical suspicion of AMI in COVID-19 patients with abdominal symptoms.
- Early diagnosis and rapid treatment are vital for improving outcomes in COVID-19-associated AMI.
Introduction:
Since the outbreak of coronavirus disease 2019 (COVID-19) in December 2019, various thrombotic complications have been frequently reported in patients with infection. Acute mesenteric ischemia (AMI) is a rare but life-threatening complication in this disease, which requires early recognition and prompt treatment.
Case Presentation:
We report two cases of COVID-19-related AMI. Both patients underwent emergency laparotomy for small bowel ischemia. The first patient received prompt intervention and was discharged 5 days after surgery. The second patient presented late to the hospital and succumbed 72 h after surgery.
Conclusion:
These two cases highlight the importance of high suspicion, early recognition, and prompt treatment in patients with abdominal symptoms related to COVID-19.
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