scholarly journals Early detection and Successful Management of Acute Mesenteric Ischaemia in symptomatic COVID 19 patient

2020 ◽  
Author(s):  
Prashant Balani ◽  
Aniruddha Bhuiyan ◽  
Vijay N. Dalal ◽  
Govardhan S. Maheshwari

Abstract Newer evidence states that COVID 19 pneumonia induces a hypercoagulable state leading to vascular and microvascular thrombotic events. Acute mesenteric ischemia (AMI) is a potentially fatal vascular emergency with overall mortality of 60% to 80%. [1] However till date, only few cases of SMA thrombosis in COVID-19 positive patients are reported and most have succumbed to COVID-19 or mesenteric ischaemia. [2-4] Physicians treating COVID 19 usually treat respiratory symptoms and may completely overlook any other uncommon pathology. This case report emphasises that a patient with early detection and management of acute mesenteric ischaemia being symptomatic for COVID 19 can avoid major bowel surgery and negate any morbidity or mortality associated with the same.

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
P. Genzel ◽  
L. C. van Dijk ◽  
H. T. C. Veger ◽  
J. J. Wever ◽  
R. G. S. van Eps ◽  
...  

Author(s):  
Anitha Shivaji ◽  
Ashwini Kumar ◽  
Vinod C Nayak ◽  
Vikram Palimar ◽  
Shankar M Bakkannavar ◽  
...  

2010 ◽  
Vol 92 (5) ◽  
pp. e10-e13 ◽  
Author(s):  
BA Khalil ◽  
JC Gillham ◽  
L Foresythe ◽  
R Harding ◽  
T Johnston ◽  
...  

Vanishing gastroschisis is a rare in utero complication of gastroschisis. It is associated with a high mortality. We present a case report of an infant with vanishing gastroschisis that was managed with a combination of reconstructive bowel surgery and hepatosparing parenteral nutrition. The technique is described and a review of the literature is provided.


2013 ◽  
Vol 48 (4) ◽  
pp. 231-237 ◽  
Author(s):  
Robin Sebastian Bruhn ◽  
Martina Susanne Distelmaier ◽  
Miriam Hellmann-Sokolis ◽  
Amjad Naami ◽  
Christiane Katharina Kuhl ◽  
...  

2020 ◽  
Vol 7 (8) ◽  
pp. 2544
Author(s):  
Mallikarjuna Reddy Mandapati ◽  
Sanjeev Kumar Jukuri ◽  
Nageswara Rao Nasika ◽  
Haleema Neshat

Background: Acute mesenteric ischemia (AMI) is typically defined as a group of diseases characterized by an interruption of the blood supply to varying portions of the small intestine, leading to ischemia and secondary inflammatory changes.Methods: A monocentric retrospective study was conducted between 01 August 2013 and 31 December 2019; 24 AMI patients underwent surgery (17 men and 7 women). Retrospectively, the risk factors, management until diagnosis and mortality were evaluated.Results: Patients present with an acute pain of the abdomen. Diagnosis was provided by CT with contrast medium. The 30-day mortality was 45.8%, the late mortality was 25% and the overall mortality was 70.8%. For the <12 hours delay group, the mortality was 33.3%, and the mortality in the group with 12-24 hours delay was 80% and was 87.5% in the >24 hours after admission group.Conclusions: If untreated, this process will eventuate in life threatening intestinal necrosis. The incidence is low, estimated at 0.09-0.21% of all acute surgical admissions.


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