Arterial Mesenteric Thrombosis as a Complication of SARS-CoV-2 Infection

Authors

• Lia a Beccara Emergency Department, ASST di Cremona, Cremona, Italy
• Carlotta Pacioni Emergency Department, ASST di Cremona, Cremona, Italy
• Sara Ponton Emergency Department, ASST di Cremona, Cremona, Italy
• Simone Francavilla Emergency Department, ASST di Cremona, Cremona, Italy
• Antonio Cuzzoli Emergency Department, ASST di Cremona, Cremona, Italy

lia.abeccara@gmail.com

Keywords

Abstract

A 52-year-old patient with SARS-CoV-2 was diagnosed with interstitial pneumonia and treated with darunavir/ritonavir, hydroxychloroquine, azithromycin and low molecular weight heparin (LMWH). After LMWH cessation, he developed superior mesenteric arterial thrombosis. An abdominal CT scan showed arterial thrombosis of vessels efferent of the superior mesenteric artery with bowel distension.
COVID-19 may predispose to venous and arterial thromboembolism. Anticoagulation prophylaxis should be considered in hospitalized patients with COVID-19, and potential thromboembolism investigated in each symptomatic patient affected by SARS-CoV-2.