Isolated Spleen Infarction in Patient With Covid-19

Year 2023, Volume: 4 Issue: 1, 31 - 34, 31.01.2023

Hüseyin Özden Abdulkadir Safa

https://doi.org/10.51972/tfsd.1152884

Abstract

Purpose: A case-based evaluation was made about the place of Covid-19 in the etiology of splenic infarction, the clinic and treatment of splenic infarction.
Material and Methods: A case of splenic infarction in a 74-year-old male patient who developed after Covid-19 was presented.
Conclusion: Spleen infarction is a rare cause of acute abdomen secondary to an underlying hematological disease or trauma. Sometimes, a virus that progresses with a hematological disorder, such as covid-19, can cause this disease. The algorithm to be followed in the treatment should be an effective treatment for the underlying disease. Laparoscopic splenectomy can be performed safely if medical treatments do not improve.

Keywords

Covid-19, spleen infarction, laparoscopic splenectomy, thrombosis, embolism

References

• Kato K, Gleeson TA (2019). Splenic necrosis requiring ultrasound-guided drainage following meningococcal septicaemia. Oxf Med Case Reports 3: 143-145. https://doi.org/10.1093/omcr/omz020
• Ciotti M, Ciccozzi M, Terrinoni A, Jiang WC, Wang CB, Bernardini S (2020). The COVID-19 pandemic. Critical Reviews in Clinical Laboratory Sciences 57 (6): 365-388. https://doi.org/10.1080/10408363.2020.1783198
• Gömeç M, Külah B, Ercan U, Şahin S. The healing effects of Ganoderma lucidum on intestinal ischemia-reperfusion damage in rats. J Surg Med. 2022;6(4):476-482
• Cohen BA, Mitty HA, Mendelson DS (1984). Computed tomography of splenic infarction. J Comput Assist Tomogr 8(1):167-8. https://doi.org/10.1097/00004728-198402000-00040
• Murat V, Sevgi A (2015). Antiagregan ve Antikoagülan Tedavi. Turkiye Klinikleri J Geriatr-Special Topics 1(1):29-39.
• Hirsh J, Warkentin TE, Raschke R, Granger C, Ohman EM, Dalen JE (1998). Heparin and low molecular weight heparin: Mechanism of action, pharmacokinetics, dosing, monitöring, efficacy, and safety. Chest 119: 64-94. https://doi.org/10.1378/chest.114.5_supplement.489s.
• Yılmaz G (2019). Splenic Infarction after Warfarin Overdose Treatment: Is It a Coincidence or Complication? Ann Vasc Surg 59: 314.e5-314.e7. https://doi.org/10.1016/j.avsg.2019.02.012
• Kamaya A, Weinstein S, Desser TS (2006). Multiple lesions of the spleen: differential diagnosis of cystic and solid lesions. Semin Ultrasound CT MR. 27 (5): 389–403. https://doi.org/10.1053/j.sult.2006.06.004.
• Mourad JJ, Levy BI (2020). Interaction between RAAS inhibitors and ACE2 in the context of COVID-19. Nature Reviews Cardiology. https://doi.org/10.1038/s41569-020-0368-x
• Chang JC (2018). TTP-like syndrome: novel concept and molecular pathogenesis of endotheliopathy-associated vascular microthrombotic disease. Thrombosis Journal 16 (20) 1-14. https://doi.org/10.1186/s12959-018-0174-4.
• Tang N, Bai H, Chen X, Gong J, Li D, Sun Z (2019). Anticoagulant treatment is associated with decreased mortality in severe coronavirus disease 2019 patients with coagulopathy. J Thromb Haemost 18(5):1094-1099. https://doi.org/10.1111/jth.14817