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Updated: Jul 31, 2025

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Superior Mesenteric Artery Thrombosis and Intestinal Ischemia as a Consequence of COVID-19 Infection
Ashik Pokharel1,2, Indira Acharya1,2, Ranjit K Chaudhary3
1Internal Medicine, MedStar Union Memorial Hospital, Baltimore, USA.
Insights
COVID-19 can cause dangerous blood clots, including rare cases of intestinal ischemia. This case highlights severe superior mesenteric artery thrombosis in a COVID-19 patient, emphasizing the need for vigilance.
Area of Science:
- Vascular Medicine
- Infectious Diseases
- Gastroenterology
Background:
- COVID-19 is linked to arterial and venous thrombotic events.
- Intestinal ischemia is a rare but serious complication of COVID-19 infection.
Observation:
- A patient presented with fever, malaise, and diarrhea, testing positive for COVID-19.
- The patient's condition deteriorated due to thrombosis of the superior mesenteric artery (SMA).
Findings:
- This case demonstrates a severe manifestation of COVID-19-associated arterial thrombosis.
- Superior mesenteric artery thrombosis is a critical complication in select COVID-19 patients.
Implications:
- Highlights the potential for devastating vascular complications in COVID-19.
- Underscores the importance of considering thrombotic events in COVID-19 patients with abdominal symptoms.
- Suggests a need for heightened awareness and potential prophylactic strategies in high-risk individuals.
Abstract:
COVID-19-associated arterial and venous thrombotic events are multifactorial in origin, resulting in significant morbidity and mortality. Intestinal ischemia due to thrombus is a rare manifestation of COVID infection. Here, we report the case of a patient who presented with fever, malaise, and diarrhea, and was found to be COVID-19 positive; his clinical course was further complicated by devastating thrombosis of the superior mesentery artery (SMA) associated with COVID-19 infection.
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