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ARTÍCULO

Severe colon ischemia in patients with severe coronavirus-19 (COVID-19)

Autores: Almeida Vargas, Ana; Valentí Azcarate, Víctor; Sánchez Justicia, Carlos; Martínez Regueira, Fernando; Martí Cruchaga, Pablo; Lujan Colas, Juan; Aliseda Jover, Daniel; Esteban Gordillo, Sara; Álvarez-Cienfuegos Suárez, Francisco Javier (Autor de correspondencia); Rotellar Sastre, Fernando
Título de la revista: REVISTA ESPAÑOLA DE ENFERMEDADES DIGESTIVAS
ISSN: 1130-0108
Volumen: 112
Número: 10
Páginas: 784 - 787
Fecha de publicación: 2020
Resumen:
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.
DOI: https://doi.org/10.17235/reed.2020.7329/2020
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