BMC Gastroenterol

. 2020 Nov 19;20(1):386.
doi: 10.1186/s12876-020-01518-2.
Acute portal vein thrombosis secondary to COVID-19: a case report

Roham Borazjani 1 , Seyed Reza Seraj 2 , Mohammad Javad Fallahi 3 , Zhila Rahmanian 4



Background: COVID-19 pneumonia exhibits several extra-pulmonary complications.
Case presentation: A 23-year old, asthmatic male with coronavirus pneumonia developed with generalized, acute abdominal pain. Further evaluations revealed a mild ascites and portal vein thrombosis although the patient received proper anticoagulation therapy. Routine lab data regarding the secondary causes of portal vein thrombosis were normal.
Conclusion: We speculated that the underlying cause of portal vein thrombosis in our case was coronaviruses. Therefore, clinicians should always consider thrombosis and other hypercoagulable diseases in patients with COVID-19.

Keywords: COVID-19; Pneumonia; Portal vein; Thrombosis.