1例2019冠状病毒病患者合并先天性粘连带和肠系膜上静脉血栓形成的小肠狭窄特殊病例
A Peculiar Case of Small Bowel Stricture in a Coronavirus Disease 2019 Patient with Congenital Adhesion Band and Superior Mesenteric Vein Thrombosis.
作者信息
Pang Jolyn Hui Qing, Tang Jun Han, Eugene-Fan Bingwen, Lee Chin Li, Low Jee Keem
机构信息
Department of General Surgery, Tan Tock Seng Hospital, Singapore.
Department of Haematology, Tan Tock Seng Hospital, Singapore.
出版信息
Ann Vasc Surg. 2021 Jan;70:286-289. doi: 10.1016/j.avsg.2020.08.084. Epub 2020 Aug 28.
BACKGROUND
There is increasing evidence supporting coronavirus disease 2019 (COVID-19)-related coagulopathy. In the available literature, only 2 cases of superior mesenteric vein thrombosis have been described.
METHODS
We present a peculiar case of high-grade small bowel obstruction in a patient with COVID-19 infection.
RESULTS
Exploratory laparotomy revealed a congenital adhesion band with associated focal bowel ischemia contributed by superior mesenteric vein thrombosis and positive lupus anticoagulant.
CONCLUSIONS
It is important to consider the rare differential of mesenteric vein thrombosis and its related sequelae of mesenteric ischemia in a patient with COVID-19 who presents with abdominal pain.
背景
越来越多的证据支持2019冠状病毒病（COVID-19）相关凝血病。在现有文献中，仅描述了2例肠系膜上静脉血栓形成的病例。
方法
我们报告1例COVID-19感染患者发生的罕见高位小肠梗阻病例。
结果
剖腹探查发现一条先天性粘连带，伴有由肠系膜上静脉血栓形成和狼疮抗凝物阳性导致的局灶性肠缺血。
结论
对于出现腹痛的COVID-19患者，考虑肠系膜静脉血栓形成这一罕见鉴别诊断及其相关的肠系膜缺血后遗症很重要。
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