Year 2020 / Volume 112 / Number 10
Original
Severe colon ischemia in patients with severe coronavirus-19 (COVID-19)

784-787

DOI: 10.17235/reed.2020.7329/2020

Ana Almeida Vargas, Víctor Valentí, Carlos Sánchez Justicia, Fernando Martínez Regueira, Pablo Martí Cruchaga, Juan Luján Colás, Daniel Aliseda Jover, Sara Esteban Gordillo, Javier A. Cienfuegos, Fernando Rotellar Sastre,

Abstract
COVID-19 is associated with severe coagulopathy. We present three cases of colonic ischemia that can be attributed to the hypercoagulable state related with SARS-CoV2 and disseminated intravascular coagulation. Three males aged 76, 68 and 56 with respiratory distress presented episodes of rectal bleeding, abdominal distension and signs of peritoneal irritation. Endoscopy (case 1) and computed tomography angiography revealed colonic ischemia. One patient (case 2) in which a computed tomography (CT) scan showed perforation of the gangrenous cecum underwent surgery. D-dimer levels were markedly increased (2,170, 2,100 and 7,360 ng/ml) in all three patients. All three patients died shortly after diagnosis.
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Almeida Vargas A, Valentí V, Sánchez Justicia C, Martínez Regueira F, Martí Cruchaga P, Luján Colás J, et all. Severe colon ischemia in patients with severe coronavirus-19 (COVID-19). 7329/2020


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Publication history

Received: 10/06/2020

Accepted: 12/07/2020

Online First: 21/09/2020

Published: 07/10/2020

Article revision time: 23 days

Article Online First time: 103 days

Article editing time: 119 days


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