Acute Mesenteric Ischemia in Severe Coronavirus (COVID19): Cases Report of 3 Patients

Acidi. B*, AlChirazi N, Medjmadj N and Taha F

Acute Mesenteric Ischemia in Severe Coronavirus (COVID19): Cases Report of 3 Patients.

The Coronavirus disease 2019 pandemic, also known as the coronavirus
pandemic, is an ongoing global pandemic of COVID-19, caused by severe acute respiratory syndrome coronavirus-2. There is no longer any need to prove that COVID-19 is a respiratory disease with pulmonary manifestation.

However, a rising number of evidence support that COVID-19 related coagulopathy and
has reached other systems. Although efforts to recognize and manage SARS-CoV-2 infections have focused primarily on respiratory complications, some patients with COVID-19 infection may
experience gastrointestinal manifestation from this disease.

A recent study reports the involvement of mesenteric ischemia in some patients with COVID-19
and gastrointestinal symptoms. To our knowledge, only six cases have of mesenteric
ischemia associated with COVID-19 have been reported.

The present report describes 3 cases of mesenteric ischemia events in
previous symptomatic individuals with confirmed severe COVID-19. We report the
case of a 66-years-old woman Ms. B, who was referred to our institution for asthenia, anorexia, cough, dyspnoea
associated with fever which she had experienced for the preceding 2-days, but no
re-existing symptoms of gastrointestinal disease. Her viral polymerized chain
reaction test for SARS-CoV-2 returned positive 4 days ago and her husband and child were recently diagnosed
positively at COVID-19.

On hospital day 30, the patient was still in the intensive care unit,
under intubation and 2 mg/hours of noradrenaline, in front of septic
shock associated to a pronounced abdominal distension with a melena, an abdominal computerized tomography was
made. Transversal CT scan image showed bowel dilatation and slices showed an hypodensity and
an enhancement of the wall of part of the small bowel, with a permeable coeliac trunk, mesenteric superior and inferior vein.

Surg Res Open J. 2021; 6(1): 8-12. doi: 10.17140/SROJ-6-126