Successful vascular interventional management of superior mesenteric vein thrombosis in a patient with COVID-19: A case report and review of literature

Hojat Ebrahiminik, MD; Shahriar nikpour, MD; Hadi Rokni Yazdi, MD; Afshin Mohammadi, MD; Mohammad Mirza-Aghazadeh-Attari, md-mph

Radiology Case Reports (Jun 2021)

Successful vascular interventional management of superior mesenteric vein thrombosis in a patient with COVID-19: A case report and review of literature

Hojat Ebrahiminik, MD,
Shahriar nikpour, MD,
Hadi Rokni Yazdi, MD,
Afshin Mohammadi, MD,
Mohammad Mirza-Aghazadeh-Attari, md-mph

Affiliations

Hojat Ebrahiminik, MD: Department of Interventional Radiology and Radiation Sciences Research Centre, AJA University of Medical Sciences, Tehran Iran
Shahriar nikpour, MD: Department of Adult Gastroenterology and Hepatology, School of Medicine, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Corresponding author.
Hadi Rokni Yazdi, MD: Medical imaging center, Imam Khomeini hospital, Tehran University of Medical Sciences
Afshin Mohammadi, MD: Department of Radiology, Urmia University of Medical Sciences, Urmia, Iran
Mohammad Mirza-Aghazadeh-Attari, md-mph: Medical Radiation Sciences Research Group, Tabriz University of Medical Sciences, Tabriz, Iran

Journal volume & issue: Vol. 16, no. 6
pp. 1539 – 1542

Abstract

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Coronavirus disease (COVID-19) is associated with thrombosis formation in various vessels, including those in the abdomen. In this case report, we present a COVID-19 infected patient who had developed abdominal discomfort. The patient underwent magnetic resonance imaging, which showed signs of thrombosis formation in the superior mesenteric vein (SMV). After conservative treatment failed, the patient was considered for vascular intervention. The SMV clot underwent thrombolysis via the infusion of reteplase (dose 6 mg stat, followed by 1 mg every hour) through a 5F perfusion Cather (Cragg-McNamara, 20 cm). Control venography showed near-complete recanalization. The patient was discharged with oral anticoagulants. Our case report is one of the first incidents of successful vascular intervention in SMV thrombosis in the setting of COVID-19.

COVID-19 Superior mesenteric vein Interventional Radiology SARS-COV-2

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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