Assuntos
Neoplasias Colorretais , Hepatectomia , Neoplasias Hepáticas , Humanos , Hepatectomia/métodos , Neoplasias Colorretais/patologia , Neoplasias Colorretais/cirurgia , Neoplasias Hepáticas/cirurgia , Neoplasias Hepáticas/secundário , Neoplasias Hepáticas/patologia , Margens de Excisão , Veias Hepáticas/cirurgia , Veias Hepáticas/patologia , PrognósticoRESUMO
Apart from the mechanisms reported by Fernandes et al, the thromboembolic pathogenesis should also be taken into account in patients with severe COVID-19 and prophylaxis with low molecular weight heparin should be implemented.
Assuntos
COVID-19/complicações , Pancreatopatias/virologia , Tromboembolia/virologia , COVID-19/diagnóstico , COVID-19/fisiopatologia , Humanos , Pancreatopatias/diagnóstico , Pancreatopatias/fisiopatologia , Tromboembolia/diagnóstico , Tromboembolia/fisiopatologiaRESUMO
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.