Download PDF
Hamostaseologie 2020; 40(05): 592-593
DOI: 10.1055/a-1232-7446
Images in Thrombosis and Haemostasis

COVID-19 Coagulopathy with Superior Mesenteric Vein Thrombosis Complicated by an Ischaemic Bowel

Bingwen Eugene Fan
1   Department of Haematology, Tan Tock Seng Hospital, Singapore
2   Department of Laboratory Medicine, Khoo Teck Puat Hospital, Singapore
3   Lee Kong Chian School of Medicine, Singapore
4   Yong Loo Lin School of Medicine, Singapore
,
Cheng Chieh Ray Chang
1   Department of Haematology, Tan Tock Seng Hospital, Singapore
,
Clarence Hai Yi Teo   ∗
3   Lee Kong Chian School of Medicine, Singapore
4   Yong Loo Lin School of Medicine, Singapore
5   Department of Pathology, Tan Tock Seng Hospital, Singapore
,
Eng Soo Yap   ∗
4   Yong Loo Lin School of Medicine, Singapore
6   Department of Laboratory Medicine, National University Health System, Singapore
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

Abstract

COVID-19 coagulopathy is a hypercoagulable state which predisposes to venous, arterial and small vessel thrombosis. We describe a patient with COVID-19 who developed an acute superior mesenteric vein thrombosis with acute intestinal obstruction despite adequate anticoagulation.

Keywords

abdominal pain - COVID-19 - hypercoagulability - anticoagulation - thrombosis

Disclosures

There was no conflict of interest declared for all authors and no funding was required. Written consent for publication was obtained from the patient.


∗ These 2 senior authors contributed equally.




Publication History

Received: 15 July 2020

Accepted: 03 August 2020

Article published online:
07 September 2020

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 Becker RC. COVID-19 update: COVID-19-associated coagulopathy. J Thromb Thrombolysis 2020; 50 (01) 54-67
    CrossrefPubMedGoogle Scholar
  • 2 Harzallah I, Debliquis A, Drénou B. Lupus anticoagulant is frequent in patients with Covid-19. J Thromb Haemost 2020; 18 (08) 2064-2065
    CrossrefPubMedGoogle Scholar
  • 3 Tait C, Baglin T, Watson H. et al; British Committee for Standards in Haematology. Guidelines on the investigation and management of venous thrombosis at unusual sites. Br J Haematol 2012; 159 (01) 28-38
    CrossrefPubMedGoogle Scholar
  • 4 Klok FA, Kruip MJHA, van der Meer NJM. et al. Incidence of thrombotic complications in critically ill ICU patients with COVID-19. Thromb Res 2020; 191: 145-147
    CrossrefPubMedGoogle Scholar
  • 5 Tang N, Li D, Wang X, Sun Z. Abnormal coagulation parameters are associated with poor prognosis in patients with novel coronavirus pneumonia. J Thromb Haemost 2020; 18 (04) 844-847
    CrossrefPubMedGoogle Scholar