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Covid-19 Hastasında Tedavi Sonrası Nadir Görülen Vasküler Komplikasyonu: Renal Arter Trombozu

Year 2022, , 351 - 355, 27.01.2023
https://doi.org/10.18614/deutip.1150441

Abstract

COVID-19 (koronavirüs hastalığı-2019) enfeksiyonunda solunum semptomları baskın olsa da, ağır hasta grubunda ekstrapulmoner sistemik bulgular görülebilir. COVID-19’da hastaların yüksek arteriyel ve venöz trombotik komplikasyon insidansına sahip olduğunu gösteren çalışmalar mevcuttur. Akut renal arter trombozu, COVID-19 hastalığının trombotik komplikasyonları arasında bile daha nadir bir arteryel tromboembolizm tipini temsil eder. Bu tür komplikasyonlar özellikle enfeksiyonun aktif fazı sırasında ortaya çıkmaktadır. Bu yazıda, COVID-19 pnömoni tedavisi sonrası taburcu edilen bir hastada profilaktik antitrombotik tedaviye rağmen renal arter trombüsü gelişen nadir bir olguyu sunuyoruz.

References

  • 1. D. Bari, S. Paul, W. Reese, K. Danny, and S. K. Douglas, “Hypercoagulability in COVID-19: identification of arterial and venous thromboembolism in the abdomen, pelvis, and lower extremities,” American Journal of Roentgenology, vol. 216, 2021.
  • 2. Shah A, Donovan K, McHugh A, et al. Thrombotic and haemorrhagic complications in critically ill patients with COVID-19: a multicentre observational study. Crit Care 2020 241. 2020;24(1):1–10
  • 3. Tan B. K., Mainbourg S., Friggeri A., Bertoletti L., Douplat M., Dargaud, Y., ... & Lega, J. C. (2021). Arterial and venous thromboembolism in COVID-19: a study-level meta-analysis. Thorax, 76(10), 970-979
  • 4. El Shamy O, Munoz-Casablanca N, Coca S, Sharma S, Lookstein R, Uribarri J. Bilateral renal artery thrombosis in a patient with COVID-19. Kidney Med 2021; 3:116-9.
  • 5. Ergün R., Ergün D., Shalabi H. S., Shalabi M. Y., Kanat F., Tulek B., Yormaz B.,Nayman A. COVID-19 and Renal Artery Thrombosis: A case report, Respir Case Rep 2022;11(1):25-29
  • 6. R.K. Lessman, S.F. Johnson, J.W. Coburn, J.J. Kaufman Renal artery embolism: clinical features and long term follow up of 17 cases Ann Intern Med, 89 (1978), pp. 477-482
  • 7. Z. Korzets, E. Plotkin, J. Bernheim, R. Zissin The clinical spectrum of acute renal infarction Isr Med Assoc J, 4 (2002), pp. 781-784
  • 8. M.N. Lango How did we get here? Short history of COVID-19 and other coronavirus-related epidemics Head Neck, 42 (7) (2020), pp. 1535-153
  • 9. Avila, J.; Long, B.; Holladay, D.; Gottlieb, M. Thrombotic complications of COVID-19. Am. J. Emerg. Med. 2021, 39, 213–218
  • 10. Lodigiani, C.; Iapichino, G.; Carenzo, L.; Cecconi, M.; Ferrazzi, P.; Sebastian, T.; Kucher, N.; Studt, J.D.; Sacco, C.; Bertuzzi, A.; et al. Humanitas COVID-19 Task Force. Venous and arterial thromboembolic complications in COVID-19 patients admitted to an academic hospital in Milan, Italy. Thromb. Res. 2020, 191, 9–14.
  • 11. Gentili, Georgina, et al. "Kidney infarction in patient with covid-19: clinical case." Revista Mexicana de Urología 82.1 (2022): 1-8.
  • 12. Singh B, Mechineni A, Kaur P, Ajdir N, Maroules M, Shamoon F, et al. Acute intestinal ischemia in a Patient with COVID-19 Infection. Korean J Gastroenterol 2020; 76:164-6.
  • 13. Jain, A., Bector, G., Jain, D., Makkar, V., & Mehta, S. (2022). Renal artery thrombosis with renal infarction secondary to COVID-19 infection: A rare presentation.
  • 14. Klok FA, Kruip MJHA, van der Meer NJM, Arbous MS, Gommers DAMPJ, Kant KM, et al. Incidence of thrombotic complications in critically ill ICU patients with COVID19. Thromb Res. 2020; 191:145-7
  • 15. Y. Yamanouchi, K. Yamamoto, K. Noda, K. Tomori, T. Kinoshita Renal infarction in a patient with spontaneous dissection of segmental arteries: diffusion-weighted magnetic resonance imaging Am J Kidney Dis, 52 (2008), pp. 788-791
  • 16. L.A. Miller, S.E. Mirvis, K. Shanmuganathan, A.S. Ohson CT diagnosis of splenic infarction in blunt trauma: imaging features, clinical significance and complications Clin Radiol, 59 (4) (2004), pp. 342-348
  • 17. K. Ouriel, C.H. Andrus, J.J. Ricotta, J.A. DeWeese, R.M. Green Acute renal artery occlusion: when is revascularization justified? J Vasc Surg, 5 (1987), pp. 348-355

Rarely Seen Vascular Complication After Treatment in a Covid-19 Patient: Renal Artery Thrombosis

Year 2022, , 351 - 355, 27.01.2023
https://doi.org/10.18614/deutip.1150441

Abstract

Although respiratory symptoms are dominant in COVID-19 (coronavirus disease-2019) infection, extrapulmonary systemic findings may be seen in the extremely sick group. Studies are showing that patients have a high incidence of arterial and venous thrombotic complications in COVID-19. Acute renal artery thrombosis represents a rarer type of arterial thromboembolism, even among the thrombotic complications of COVID-19 disease. Such complications appear especially during the active phase of the infection. In this article, a rare case of renal artery thrombus in a discharged patient after treatment for COVID-19 pneumonia despite prophylactic antithrombotic treatment is offered.

References

  • 1. D. Bari, S. Paul, W. Reese, K. Danny, and S. K. Douglas, “Hypercoagulability in COVID-19: identification of arterial and venous thromboembolism in the abdomen, pelvis, and lower extremities,” American Journal of Roentgenology, vol. 216, 2021.
  • 2. Shah A, Donovan K, McHugh A, et al. Thrombotic and haemorrhagic complications in critically ill patients with COVID-19: a multicentre observational study. Crit Care 2020 241. 2020;24(1):1–10
  • 3. Tan B. K., Mainbourg S., Friggeri A., Bertoletti L., Douplat M., Dargaud, Y., ... & Lega, J. C. (2021). Arterial and venous thromboembolism in COVID-19: a study-level meta-analysis. Thorax, 76(10), 970-979
  • 4. El Shamy O, Munoz-Casablanca N, Coca S, Sharma S, Lookstein R, Uribarri J. Bilateral renal artery thrombosis in a patient with COVID-19. Kidney Med 2021; 3:116-9.
  • 5. Ergün R., Ergün D., Shalabi H. S., Shalabi M. Y., Kanat F., Tulek B., Yormaz B.,Nayman A. COVID-19 and Renal Artery Thrombosis: A case report, Respir Case Rep 2022;11(1):25-29
  • 6. R.K. Lessman, S.F. Johnson, J.W. Coburn, J.J. Kaufman Renal artery embolism: clinical features and long term follow up of 17 cases Ann Intern Med, 89 (1978), pp. 477-482
  • 7. Z. Korzets, E. Plotkin, J. Bernheim, R. Zissin The clinical spectrum of acute renal infarction Isr Med Assoc J, 4 (2002), pp. 781-784
  • 8. M.N. Lango How did we get here? Short history of COVID-19 and other coronavirus-related epidemics Head Neck, 42 (7) (2020), pp. 1535-153
  • 9. Avila, J.; Long, B.; Holladay, D.; Gottlieb, M. Thrombotic complications of COVID-19. Am. J. Emerg. Med. 2021, 39, 213–218
  • 10. Lodigiani, C.; Iapichino, G.; Carenzo, L.; Cecconi, M.; Ferrazzi, P.; Sebastian, T.; Kucher, N.; Studt, J.D.; Sacco, C.; Bertuzzi, A.; et al. Humanitas COVID-19 Task Force. Venous and arterial thromboembolic complications in COVID-19 patients admitted to an academic hospital in Milan, Italy. Thromb. Res. 2020, 191, 9–14.
  • 11. Gentili, Georgina, et al. "Kidney infarction in patient with covid-19: clinical case." Revista Mexicana de Urología 82.1 (2022): 1-8.
  • 12. Singh B, Mechineni A, Kaur P, Ajdir N, Maroules M, Shamoon F, et al. Acute intestinal ischemia in a Patient with COVID-19 Infection. Korean J Gastroenterol 2020; 76:164-6.
  • 13. Jain, A., Bector, G., Jain, D., Makkar, V., & Mehta, S. (2022). Renal artery thrombosis with renal infarction secondary to COVID-19 infection: A rare presentation.
  • 14. Klok FA, Kruip MJHA, van der Meer NJM, Arbous MS, Gommers DAMPJ, Kant KM, et al. Incidence of thrombotic complications in critically ill ICU patients with COVID19. Thromb Res. 2020; 191:145-7
  • 15. Y. Yamanouchi, K. Yamamoto, K. Noda, K. Tomori, T. Kinoshita Renal infarction in a patient with spontaneous dissection of segmental arteries: diffusion-weighted magnetic resonance imaging Am J Kidney Dis, 52 (2008), pp. 788-791
  • 16. L.A. Miller, S.E. Mirvis, K. Shanmuganathan, A.S. Ohson CT diagnosis of splenic infarction in blunt trauma: imaging features, clinical significance and complications Clin Radiol, 59 (4) (2004), pp. 342-348
  • 17. K. Ouriel, C.H. Andrus, J.J. Ricotta, J.A. DeWeese, R.M. Green Acute renal artery occlusion: when is revascularization justified? J Vasc Surg, 5 (1987), pp. 348-355
There are 17 citations in total.

Details

Primary Language English
Subjects Radiology and Organ Imaging
Journal Section Case Studies
Authors

Semih Sağlık 0000-0002-4224-9272

Necip Nas 0000-0002-0927-5217

Mehmet Öztürk 0000-0001-5585-1476

Publication Date January 27, 2023
Submission Date September 12, 2022
Published in Issue Year 2022

Cite

Vancouver Sağlık S, Nas N, Öztürk M. Rarely Seen Vascular Complication After Treatment in a Covid-19 Patient: Renal Artery Thrombosis. DEU Tıp Derg. 2023;36(3):351-5.