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Cir Cir . Acute portal vein thrombosis in mild cholecystitis. A consequence of coronavirus disease 2019 infection?

tetano

Editor, Senior Moderator
Cir Cir


. 2021;89(3):399-402.
doi: 10.24875/CIRU.20001044.
Acute portal vein thrombosis in mild cholecystitis. A consequence of coronavirus disease 2019 infection?


Daniel Rivera-Alonso[SUP] 1 [/SUP], Inés Rivera-Alonso[SUP] 2 [/SUP], Mauricio Burneo-Esteves[SUP] 1 [/SUP], Carlos Martínez-Ruíz[SUP] 1 [/SUP], Mikel Rojo-Abecia[SUP] 1 [/SUP], Carlos Moreno-Sanguino[SUP] 1 [/SUP]



Affiliations

Abstract

La infección por el virus SARS-CoV-2 provoca, además de cuadros respiratorios graves, episodios trombóticos en múltiples localizaciones debido a una mala regulación de la respuesta inmune. Presentamos el caso de un paciente con colecistitis incipiente que desarrolló trombosis portal aguda sin ningún otro antecedente salvo haber pasado de forma asintomática una infección por COVID-19. Dado que esta complicación es extremadamente infrecuente en pacientes sin factores predisponentes ni infecciones graves, consideramos que la infección por COVID-19 pudo ser un factor desencadenante de la trombosis portal y debemos de tenerlo en cuenta de cara al manejo y tratamiento de futuros casos similares.
Severe acute respiratory syndrome coronavirus 2019 infection causes, in addition to severe respiratory symptoms, thrombotic episodes in multiple locations due to dysregulation of the immune response. We present the case of a patient with incipient cholecystitis who developed acute portal thrombosis with no other antecedents except having passed an asymptomatic coronavirus disease 2019 (COVID-19) infection. Since this complication is extremely rare in patients without predisposing factors or serious infections, we consider that COVID-19 infection could be a triggering factor for portal thrombosis and we must take it into account in the management and treatment of future similar cases.

Keywords: COVID-19; Cholecystitis; Colecistitis; Coronavirus disease 2019; Portal thrombosis; Trombosis portal.
 
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