Purpose: To report ischemic and haemorrhagic abdominal complications in a series of COVID-19 patients. To correlate these complications with lung involvement, laboratory tests, comorbidities, and anticoagulant treatment. Methods: We retrospectively included 30 COVID-19 patients who undergone abdomen CECT for abdominal pain, between March 16 and May 19, 2020. Ischemic and haemorrhagic complications were compared with lung involvement (early, progressive, peak or absorption stage), blood coagulation values, anticoagulant therapy, comorbidities, and presence of pulmonary embolism (PE). Results: Ischemic complications were documented in 10 patients (7 receiving anticoagulant therapy, 70%): 6/10 small bowel ischemia (1 concomitant obstruction, 1 perforation) and 4/10 ischemic colitis. Main mesenteric vessels were patent except for 1 superior mesenteric vein thrombosis. Two ischemia cases also presented splenic infarctions. Bleeding complications were found in 20 patients (all receiving anticoagulant treatments), half with active bleeding: hematomas in soft tissues (15) and retroperitoneum (2) and gastro-intestinal bleeding (3). Platelet and lymphocyte were within the normal range. d-Dimer was significantly higher in ischemic cases (p < 0.001). Most of the patients had severe lung disease (45% peak, 29% absorption), two patients PE. Conclusions: Ischemic and haemorrhagic abdominal complications may occur in COVID-19 patients, particularly associated to extended lung disease. CT plays a key role in the diagnosis of these potentially life- threatening conditions.

Bonaffini, P., Franco, P., Bonanomi, A., Giaccherini, C., Valle, C., Marra, P., et al. (2022). Ischemic and hemorrhagic abdominal complications in COVID-19 patients: experience from the first Italian wave. EUROPEAN JOURNAL OF MEDICAL RESEARCH, 27(1) [10.1186/s40001-022-00793-x].

Ischemic and hemorrhagic abdominal complications in COVID-19 patients: experience from the first Italian wave

Bonaffini P. A.
;
Marra P.;Marchetti M.;Sironi S.
2022

Abstract

Purpose: To report ischemic and haemorrhagic abdominal complications in a series of COVID-19 patients. To correlate these complications with lung involvement, laboratory tests, comorbidities, and anticoagulant treatment. Methods: We retrospectively included 30 COVID-19 patients who undergone abdomen CECT for abdominal pain, between March 16 and May 19, 2020. Ischemic and haemorrhagic complications were compared with lung involvement (early, progressive, peak or absorption stage), blood coagulation values, anticoagulant therapy, comorbidities, and presence of pulmonary embolism (PE). Results: Ischemic complications were documented in 10 patients (7 receiving anticoagulant therapy, 70%): 6/10 small bowel ischemia (1 concomitant obstruction, 1 perforation) and 4/10 ischemic colitis. Main mesenteric vessels were patent except for 1 superior mesenteric vein thrombosis. Two ischemia cases also presented splenic infarctions. Bleeding complications were found in 20 patients (all receiving anticoagulant treatments), half with active bleeding: hematomas in soft tissues (15) and retroperitoneum (2) and gastro-intestinal bleeding (3). Platelet and lymphocyte were within the normal range. d-Dimer was significantly higher in ischemic cases (p < 0.001). Most of the patients had severe lung disease (45% peak, 29% absorption), two patients PE. Conclusions: Ischemic and haemorrhagic abdominal complications may occur in COVID-19 patients, particularly associated to extended lung disease. CT plays a key role in the diagnosis of these potentially life- threatening conditions.
Articolo in rivista - Articolo scientifico
Abdomen; Anticoagulants; COVID-19; Humans; Ischemia; Pulmonary Embolism; Retrospective Studies
English
31-ago-2022
2022
27
1
165
open
Bonaffini, P., Franco, P., Bonanomi, A., Giaccherini, C., Valle, C., Marra, P., et al. (2022). Ischemic and hemorrhagic abdominal complications in COVID-19 patients: experience from the first Italian wave. EUROPEAN JOURNAL OF MEDICAL RESEARCH, 27(1) [10.1186/s40001-022-00793-x].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/418302
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