Author : Moamen Mostafa Nagy, Amr Hamdy, Michael Samuel Ayad,

Abstract : Introduction: Patients with coronavirus 19 (COVID 19) presented with mesenteric venous thrombosis (MVT). Methods: This study included 10 patients presented with acute abdomen who were diagnosed with MVT on contrast enhanced CT of the abdomen. Diagnosis of COVID 19 was confirmed by PCR on nasal and orpharyngeal swab in 8 cases while the other two cases with negative PCR were diagnosed by high resolution chest CT. All cases were managed with abdominal exploration except for one case with splenic infarction which was managed conservatively. All cases received therapeutic dose of low molecular weight heparin postoperatively. Results: In our study two cases out of nine required re-exploration and re-resection of the gangrenous bowel segment and another two cases require mechanical ventilation because of chest complication. Conclusion: The best current strategies for confronting such complication in COVID-19 are prophylaxis with low-molecular-weight heparin and treatment with full-dose low-molecular-weight heparin with monitoring of anti-Factor Xa if available; however there is no evidence to support thus result.

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