Acute splanchnic vein thrombosis in patients with COVID-19: A systematic review.

Details

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State: Public
Version: Final published version
License: Not specified
Serval ID
serval:BIB_73F7838B03C0
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Acute splanchnic vein thrombosis in patients with COVID-19: A systematic review.
Journal
Digestive and liver disease
Author(s)
Buso G., Becchetti C., Berzigotti A.
ISSN
1878-3562 (Electronic)
ISSN-L
1590-8658
Publication state
Published
Issued date
08/2021
Peer-reviewed
Oui
Volume
53
Number
8
Pages
937-949
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't ; Systematic Review
Publication Status: ppublish
Abstract
There is increasing evidence that coronavirus disease 2019 (COVID-19) is associated with a significant risk of venous thromboembolism. While information are mainly available for deep vein thrombosis of the lower limb and pulmonary embolism, scarce data exist regarding acute splanchnic vein thrombosis (SVT) in this setting. PubMed, EMBASE and Google Scholar English-language articles published up to 30 January 2021 on SVT in COVID-19 were searched. Overall, 21 articles reporting equal number of patients were identified. 15 subjects presented with portal vein thrombosis, 11 with mesenteric vein thrombosis, four with splenic vein thrombosis, and two with Budd-Chiari syndrome. Male sex was prevalent (15 patients), and median age was 43 years (range 26-79 years). Three patients had a history of liver disease, while no subject had known myeloproliferative syndrome. Clinical presentation included mainly gastrointestinal symptoms. Anticoagulation was started in 16 patients. Three patients underwent bowel resection. Ten subjects developed gastric or bowel ischemia, seven of whom underwent bowel resection, and four died after SVT diagnosis. Although rare, SVT should be seen as a complication of COVID-19. Patients with severe gastrointestinal symptoms should be screened for SVT, as rapid recognition and correct management are essential to improve the outcome of these patients.
Keywords
Adult, Aged, COVID-19/complications, COVID-19/metabolism, Female, Humans, Male, Mesenteric Ischemia/diagnosis, Mesenteric Ischemia/etiology, Middle Aged, SARS-CoV-2, Splanchnic Circulation, Venous Thrombosis/diagnosis, Venous Thrombosis/etiology, Anticoagulation, Bowel ischemia, Mesenteric vein thrombosis, Portal vein thrombosis
Pubmed
Web of science
Open Access
Yes
Create date
28/06/2021 12:18
Last modification date
09/08/2024 15:53
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