Related Experiment Video
Updated: Sep 12, 2025
06:26
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
485
Single-Organ Vasculitis Following COVID-19 Infection Resulting in Visceral Arterial Rupture: A Case Report.
Yasutaka Saito1, Shinichiro Irabu1, Hirotaka Yamamoto1
1Department of Hepatobiliary and Pancreatic Surgery/Acute Care Surgery, Seirei Hamamatsu General Hospital, Hamamatsu, JPN.
Cureus
|August 6, 2025
Summary
A COVID-19 patient experienced sudden abdominal pain and shock due to spontaneous gastroepiploic artery rupture. This case suggests a link between coronavirus disease 2019 and abdominal single-organ vasculitis.
Area of Science:
- Vascular Surgery
- Infectious Diseases
- Pathology
Background:
- Coronavirus disease 2019 (COVID-19) is a global pandemic with diverse clinical manifestations.
- Abdominal complications following COVID-19 infection are increasingly reported.
- Spontaneous arterial rupture is a rare but life-threatening emergency.
Observation:
- A male patient in his 50s presented with shock and acute abdomen two days post-COVID-19 diagnosis.
- Emergency laparotomy revealed intraperitoneal hemorrhage from a ruptured right gastroepiploic artery.
- Histopathology confirmed necrotizing vasculitis, with no identified systemic causes.
Findings:
- The patient was diagnosed with abdominal single-organ vasculitis (SOV), presumed to be triggered by COVID-19.
- Necrotizing vasculitis of the gastroepiploic artery led to spontaneous rupture and hemorrhage.
- Systemic vasculitis and other causes of abdominal hemorrhage were excluded.
Implications:
- This case underscores the potential for COVID-19 to trigger rare vascular complications like SOV.
- Early consideration of SOV is crucial for COVID-19 patients presenting with acute abdominal symptoms.
- Prompt diagnosis and surgical intervention are vital to manage life-threatening hemorrhage in such cases.
Related Concept Videos
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
23
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
23
01:25Endocarditis II: Clinical Features of Infective Endocarditis
25
Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
25
01:28Esophageal Perforation-II: Clinical Manifestations and Management
149
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
149
01:22Pericarditis I: Introduction
23
Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...
23
01:25Endocarditis I: Introduction
26
Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
26
01:30Aneurysm I: Introduction
25
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
25