Case Report: Acute Splenic Artery Thrombosis in a COVID 19, Postpartum Patient

The incidence of thromboembolic disease is reported to be high in SARS-CoV2 disease. Pregnancy, an already physiologically hypercoagulable state, associated to COVID 19, generates even more concern regarding the potentially increased risk of thrombotic events. The exact incidence of such complications is yet unknown, but there is data suggesting that coagulopathy and thromboembolism are both increased in pregnancies affected by COVID-19. Since the outbreak of the COVID 19 pandemics, the most common described thrombotic events associated with SARS-COV2 infection have been venous thromboembolism and disseminated intravascular coagulation, while arterial thrombotic events are less commonly described. Splenic infarction is a rare disorder that can be secondary to a hypercoagulable state. There are only few cases of splenic infraction described, but none with splenic artery thrombosis, in a post-partum patient, on therapeutic anticoagulation regimen. We present the case of a 31-year-old Caucasian, 26 weeks pregnant woman, with no prior medical history, admitted to the hospital with a severe form of COVID 19 pneumonia and who, during the course of the disease, developed a massive splenic infarction with splenic artery thrombosis.

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Spontaneous cervical surgical emphysema following childbirth

The Journal of Laryngology & Otology ◽

10.1017/s0022215107001089 ◽

2007 ◽

Vol 121 (12) ◽

Cited By ~ 1

Author(s):

S Mylvaganam ◽

C G L Hobbs

Keyword(s):

Case Report ◽

Complete Resolution ◽

Post Partum ◽

Neck Swelling ◽

First Case ◽

Increased Risk ◽

Surgical Emphysema

AbstractObjective:We report a case of post-partum surgical cervical emphysema, which is a rare but well recognised complication of labour. By reporting the first case in the ENT literature, we aim to raise awareness of this complication, particularly amongst trainees, to ensure that patients are managed most appropriately.Case report:A 36-year-old, primigravida woman developed neck swelling and odynophagia post-partum. Surgical cervical emphysema was palpated, with further examination excluding pneumomediastinum and pneumothorax. The patient was managed conservatively, with complete resolution of symptoms within a week.Conclusions:Surgical cervical emphysema, pneumothorax and pneumomediastinum are all well recognised post-partum complications. The vast majority of cases do not present with respiratory or cardiac compromise and can be appropriately managed conservatively, with expectation of resolution in a fortnight. There is no evidence that such patients are at increased risk during subsequent pregnancies.

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Splenic Artery Aneurysm Treated With Endovascular Stent Grafting: A Case Report and Review of Literature

Vascular and Endovascular Surgery ◽

10.1177/1538574418785252 ◽

2018 ◽

Vol 52 (8) ◽

pp. 663-668 ◽

Cited By ~ 6

Author(s):

Takafumi Ouchi ◽

Noriyuki Kato ◽

Ken Nakajima ◽

Takatoshi Higashigawa ◽

Takashi Hashimoto ◽

...

Keyword(s):

Case Report ◽

Stent Graft ◽

Endovascular Therapy ◽

Splenic Artery ◽

Graft Infection ◽

Endoscopic Examination ◽

Splenic Infarction ◽

Stent Grafts ◽

Pubmed Database ◽

Stent Graft Repair

Introduction: Although endovascular therapy is becoming an alternative to open surgical repair of splenic artery aneurysms (SAAs), reports on the use of stent grafts for SAA repair are limited. We present our experience of endovascular therapy using a stent graft for the treatment of an SAA that had ruptured into the gastric lumen. We also reviewed 18 cases of stent graft repair for SAAs, including the present case. Case Report: A 43-year-old man was admitted due to hematemesis. Endoscopic examination and contrast-enhanced computed tomography (CT) revealed a dissecting SAA that had ruptured into the stomach. Two 10 × 100 mm Viabahn (W.L. Gore, Flagstaff, Arizona) stent grafts were used to exclude the aneurysm. No complications occurred during the procedure. Although postoperative CT showed complete exclusion of the aneurysm, endoscopic examination showed a discharge of purulent matter from the aneurysm. Therefore, surgical debridement and omental implantation were added to avoid stent graft infection. Follow-up CT obtained 1 year later showed the residual aneurysm almost disappeared without any evidence of infection. Literature Review: A literature search in the PubMed database returned 17 cases with sufficient data. Review of these cases, together with the present case, revealed a 100% technical success rate, 11% splenic infarction rate, 94% graft patency rate, and 0% reintervention rate. Conclusion: Endovascular repair of SAAs using stent grafts appears to be safe and effective. In terms of preserving the blood flow and avoiding splenic infarction, it may be superior to coil embolization. Even in a case with aneurysm infection, stent graft repair may be an acceptable method to minimize invasion of concomitant surgical intervention.

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Splenic Artery Thrombosis Secondary to Oral Contraceptive Medication: Case Report

Military Medicine ◽

10.1093/milmed/147.7.589 ◽

1982 ◽

Vol 147 (7) ◽

pp. 589-590 ◽

Cited By ~ 1

Author(s):

Eugene Weinstein ◽

Leonard Silverman

Keyword(s):

Case Report ◽

Oral Contraceptive ◽

Splenic Artery ◽

Artery Thrombosis

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Splenic infarction complicated by splenic artery occlusion after N-butyl-2-cyanoacrylate injection for gastric varices: case report

Gastrointestinal Endoscopy ◽

10.1016/s0016-5107(04)02583-0 ◽

2005 ◽

Vol 61 (2) ◽

pp. 343-345 ◽

Cited By ~ 27

Author(s):

Li-Kuang Yu ◽

Chao-Wei Hsu ◽

Jeng-Hwei Tseng ◽

Nai-Jen Liu ◽

I-Shyan Sheen

Keyword(s):

Case Report ◽

Splenic Artery ◽

Gastric Varices ◽

Artery Occlusion ◽

Splenic Infarction

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Celiac Artery Thrombosis and Splenic Infarction as a Consequence of Mild COVID-19 Infection: Report of an Unusual Case

Hämostaseologie ◽

10.1055/a-1508-7388 ◽

2021 ◽

Author(s):

Gokhan Arslan

Keyword(s):

High Risk ◽

Arterial Thrombosis ◽

Unusual Case ◽

Celiac Artery ◽

Splenic Infarction ◽

Hypercoagulable State ◽

Small Vessels ◽

Artery Thrombosis ◽

History Of ◽

Thrombotic Complications

AbstractCOVID-19 has been associated with the hypercoagulable state in the literature. Patients who are admitted to the hospital with severe COVID-19 may have some thrombotic complications. These patients have a high risk for venous and arterial thrombosis of large and small vessels. Here, a 42-year-old female with celiac artery thrombosis and splenic infarction after a history of mild COVID-19 was presented.

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Coeliac artery and splenic artery thrombosis complicated with splenic infarction 7 days following the first dose of Oxford vaccination, causal relationship or coincidence?

BMJ Case Reports ◽

10.1136/bcr-2021-243799 ◽

2021 ◽

Vol 14 (7) ◽

pp. e243799

Author(s):

Sareesh Bandapaati ◽

Hemababu Bobba ◽

Mitrakrishnan Rayno Navinan

Keyword(s):

Splenic Artery ◽

Acute Abdominal Pain ◽

Low Cost ◽

Splenic Infarction ◽

The Novel ◽

Artery Thrombosis ◽

Global Pandemic ◽

Potential Association ◽

Novel Coronavirus ◽

Roll Out

The novel coronavirus SARS-CoV-2 became a global pandemic in late 2019, and is still ongoing in 2021 causing significant morbidity and mortality. The advent of vaccinations heralded the turning of the tide. The Oxford jab, a vector-based vaccine was favoured due to its low cost and ease of storage. However, its potential association with thromboembolic adverse events resulted in controversy and disrupted its roll-out and use. The aetiopathogenesis of these thromboembolic events and its association with the Oxford vaccine are still speculative and uncertain, more so in the background of SARS-CoV-2 infection being highly thrombogenic in its own right. This paper presents a case of an otherwise healthy 50-year-old Caucasian man who developed acute abdominal pain 7 days following the first dose of Oxford vaccine and was found to have coeliac and splenic artery thrombosis complicated with splenic infarction.

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Popliteal artery thrombosis secondary to a tibial osteochondroma

VASA ◽

10.1024/0301-1526/a000101 ◽

2011 ◽

Vol 40 (3) ◽

pp. 251-255 ◽

Cited By ~ 4

Author(s):

Gruber-Szydlo ◽

Poreba ◽

Belowska-Bien ◽

Derkacz ◽

Badowski ◽

...

Keyword(s):

Case Report ◽

Magnetic Resonance Angiography ◽

Popliteal Artery ◽

Doppler Ultrasonography ◽

Histopathological Examination ◽

Previous History ◽

Plain Radiography ◽

Artery Thrombosis ◽

History Of ◽

The Right

Popliteal artery thrombosis may present as a complication of an osteochondroma located in the vicinity of the knee joint. This is a case report of a 26-year-old man with symptoms of the right lower extremity ischaemia without a previous history of vascular disease or trauma. Plain radiography, magnetic resonance angiography and Doppler ultrasonography documented the presence of an osteochondrous structure of the proximal tibial metaphysis, which displaced and compressed the popliteal artery, causing its occlusion due to intraluminal thrombosis..The patient was operated and histopathological examination confirmed the diagnosis of osteochondroma.

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