Abdominal Visceral Infarction in 3 Patients with COVID-19

Besutti, Giulia; Bonacini, Riccardo; Iotti, Valentina; Marini, Giulia; Riva, Nicoletta; Dolci, Giovanni; Maiorana, Mariarosa; Spaggiari, Lucia; Monelli, Filippo; Ligabue, Guido; Guaraldi, Giovanni; Rossi, Paolo Giorgi; Pattacini, Pierpaolo; Massari, Marco

doi:10.3201/eid2608.201161

Cited by 34 publications

(24 citation statements)

References 6 publications

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“…Visceral infarction should be considered in COVID-19 patients with severe abdominal pain [ 14 ]. As clinical examination of intubated and sedated patients can be misleading, CT scans of chest and abdomen were performed in case of a clinical degradation of unknown etiology [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Acute abdomen in patients with SARS-CoV-2 infection or co-infection

Seeliger

Philouze

Cherkaoui

et al. 2020

Langenbecks Arch Surg

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Purpose Patients with an acute abdomen require emergency surgery. SARS-CoV-2 infection can affect multiple organ systems, including the digestive tract. Little is known about the consequences of COVID-19 infection in emergency surgical patients. Methods Perioperative data for COVID-19 patients undergoing emergency surgery from March 1, 2020, to May 23, 2020 were collected prospectively (NCT04323644). Results During this period, 215 patients underwent surgery, including 127 patients in an emergency setting, of whom 13 (10.2%) had COVID-19. Two scenarios were identified: (a) patients who were admitted to a hospital for an acute surgical condition with a concomitant diagnosis of COVID-19, and (b) patients with severe COVID-19 developing acute abdominal pathologies during their hospital stay. When compared with those in group B, patients in group A globally recovered better, with a lower mortality rate (14.3% vs. 33.3%), lower ARDS rate (28.5% vs. 50.0%), less rates of preoperative invasive ventilation (14.3% vs. 50.0%) and postoperative invasive ventilation (28.5% vs. 100.0%), and a shorter duration of invasive ventilation. No causality between SARS-CoV-2 infection and gastrointestinal affliction was found. Conclusion Our observations underline that mild co-infection with COVID-19 did not result in more complications for emergency abdominal surgery. Howe, an acute abdomen during severe COVID-19 infection was part of an unfavorable prognosis.

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Section: Discussionmentioning

confidence: 99%

Acute abdomen in patients with SARS-CoV-2 infection or co-infection

Seeliger

Philouze

Cherkaoui

et al. 2020

Langenbecks Arch Surg

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“…Thromboembolic complications including acute stroke and pulmonary embolism has been reported in young patient [ 15 , 16 ]. Visceral infarction has been previously described in COVID-19 patients with previous cardiac events and involved spleen, kidney and small bowel [ 17 ]. The COVID-19 patient treated with anticoagulants were at high risk of bleeding complications.…”

Section: Discussionmentioning

confidence: 99%

A case report on spontaneous hemoperitoneum in COVID-19 patient

Karki¹,

Rawal²,

Malla³

et al. 2020

International Journal of Surgery Case Reports

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“…Some studies used abdominal diagnostic imaging in patients with SARS-CoV-2 infection to assess their intestinal condition and provide evidence for GI involvement. The most frequently reported observations are intestinal ischemia, including vessel thrombosis/embolism in the small bowel and/or colon and ischemic colitis [ 45 , 46 , 47 , 48 , 49 , 50 , 51 ]. Bhayana et al examined 42 abdominal CT scans of 412 hospitalized patients with COVID-19 [ 48 ].…”

Section: Clinical Gi Featuresmentioning

confidence: 99%

Clinical Features and Pathogenic Mechanisms of Gastrointestinal Injury in COVID-19

Mitsuyama

Tsuruta

Takedatsu

et al. 2020

JCM

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Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the cause of the global coronavirus disease 2019 (COVID-19) outbreak. Along with the respiratory tract, the gastrointestinal (GI) tract is one of the main extra-pulmonary targets of SARS-CoV-2 with respect to symptom occurrence and is a potential route for virus transmission, most likely due to the presence of angiotensin-converting enzyme 2. Therefore, understanding the mechanisms of GI injury is crucial for a harmonized therapeutic strategy against COVID-19. This review summarizes the current evidence for the clinical features of and possible pathogenic mechanisms leading to GI injury in COVID-19.

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Abdominal Visceral Infarction in 3 Patients with COVID-19

Cited by 34 publications

References 6 publications

Acute abdomen in patients with SARS-CoV-2 infection or co-infection

Acute abdomen in patients with SARS-CoV-2 infection or co-infection

A case report on spontaneous hemoperitoneum in COVID-19 patient

Clinical Features and Pathogenic Mechanisms of Gastrointestinal Injury in COVID-19

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