COVID-19相关的门静脉血栓形成后胆囊炎
Sara Guevara1,2, Santiago J Miyara3,4, Judith Aronsohn1,5
1Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York.
概括
这项案例研究突出了COVID-19和早期肝硬化患者罕见的门静脉血栓 (PVT) 病例. 在COVID-19患者中早期识别PVT症状对于及时治疗至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 血管医学 血管医学
- 传染性疾病 传染性疾病
背景情况:
- 门静脉血栓塞 (PVT) 是一种罕见的血栓栓塞事件,通常与肝硬化,恶性瘤和胰腺炎等疾病有关.
- COVID-19已与各种血栓性并发症有关,但在这种情况下,PVT仍然很少被报告.
- PVT可能导致严重的后果,包括肠道梗塞和死亡,需要及时诊断和管理.
研究的目的:
- 报告第一个已知的COVID-19相关的门静脉血栓瘤病例,其中门静脉及其右分支有广泛的血栓瘤.
- 为了强调在COVID-19患者出现腹部症状时对PVT的高临床怀疑的重要性.
- 为在COVID-19的环境中对PVT的流行,自然史和临床特征的有限理解做出贡献.
主要方法:
- 一个45岁的男性患有肥胖,高血压和糖尿病的案例研究.
- 患者在COVID-19肺炎诊断和胆囊炎发作后出现了门静脉血栓症.
- 临床表现包括医院出院后的急性腹部症状.
主要成果:
- 患者在门静脉及其右分支中出现了广泛的血栓形成.
- 这发生在早期肝硬化和先前胆囊炎的背景下.
- 该病例代表了COVID-19和门静脉血栓形成之间的新兴关联.
结论:
- COVID-19可能与门静脉血栓形成有关,即使在患有早期肝硬化等潜在疾病的患者中也是如此.
- 在COVID-19患者的腹部疼痛保证了对PVT的高度怀疑指数.
- 需要进一步的研究来阐明PVT在COVID-19患者中的机制和临床谱.
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