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Gastric Ischemia after SARS-CoV-2 Infection
Woo Yong Lee1, Byung Woo Yoon2
1Department of Surgery, Inje University Haeundae Paik Hospital, 875 Haeundae-ro, Haeundae-gu, Busan 48108, Republic of Korea.
Gastric ischemia, a rare condition, can occur after severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection. Physicians should consider gastric ischemia in SARS-CoV-2 patients with severe abdominal pain, opting for conservative care.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Vascular Surgery
Background:
- Gastric ischemia is rare due to the stomach's rich collateral circulation.
- Common etiologies include vascular insufficiency (hypotension, vasculitis, thromboembolism) and mechanical factors (volvulus, distention).
Observation:
- A 65-year-old male developed gastric ischemia and gastric pneumatosis 26 days post-treatment for severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection.
- Diagnosis was confirmed via laparoscopic imaging.
Findings:
- This case represents the first reported instance of gastric ischemia following SARS-CoV-2 infection.
- The patient presented with severe abdominal pain, a potential indicator of gastric ischemia in SARS-CoV-2 patients.
Implications:
- Healthcare providers should maintain a high index of suspicion for gastric ischemia in SARS-CoV-2 patients presenting with severe abdominal pain.
- Conservative medical management is recommended over surgical intervention for suspected post-SARS-CoV-2 gastric ischemia.
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