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新冠康复期急性门静脉血栓形成

Acute Portal Vein Thrombosis during COVID-19 Convalescent Phase.

作者信息

Rahimian Shoja, Pawar Tushar, Garrahy Ian, Rettew Andrew

机构信息

Department of Hematology & Oncology, Reading Hospital, West Reading, PA, USA.

出版信息

Case Rep Hematol. 2022 Mar 11;2022:8562978. doi: 10.1155/2022/8562978. eCollection 2022.

Abstract

Acute portal vein thrombosis represents a less common type of venous thromboembolism, even among the prothrombotic complications of coronavirus disease 2019 (COVID-19). Such complications are primarily reported during the active phase of infection. The case here describes acute portal vein thrombosis following resolution of COVID-19 in a 44-year-old male who presented with abdominal pain. Abdominal imaging identified portal and other splanchnic vein thromboses. Studies for hypercoagulable conditions were negative. Polymerase chain reaction was negative for severe acute respiratory syndrome coronavirus-2; however, IgG serology was positive. The case highlights the importance of considering thrombotic complications, particularly splanchnic vein thromboses, in patients with recent COVID-19.

摘要

急性门静脉血栓形成是一种较罕见的静脉血栓栓塞类型,即便在2019冠状病毒病(COVID-19)的血栓形成并发症中也是如此。此类并发症主要在感染活跃期被报道。本文病例描述了一名44岁男性在COVID-19康复后出现的急性门静脉血栓形成,该患者表现为腹痛。腹部影像学检查发现门静脉及其他内脏静脉血栓形成。对高凝状态的检查结果为阴性。严重急性呼吸综合征冠状病毒2的聚合酶链反应结果为阴性;然而,IgG血清学检查呈阳性。该病例凸显了对于近期感染COVID-19的患者考虑血栓形成并发症,尤其是内脏静脉血栓形成的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23f2/8933121/71effd02a012/CRIHEM2022-8562978.001.jpg

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