Simultaneous portal vein thrombosis and splenic vein thrombosis in a COVID-19 patient: A case report and review of literature

doi:10.12998/wjcc.v12.i18.3561

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World Journal of Clinical Cases

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2307-8960

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Case Report

World J Clin Cases. Jun 26, 2024; 12(18): 3561-3566
Published online Jun 26, 2024. doi: 10.12998/wjcc.v12.i18.3561

Simultaneous portal vein thrombosis and splenic vein thrombosis in a COVID-19 patient: A case report and review of literature

Daniel Anthony DiLeo, Bani Chander-Roland, Ayse Aytaman, Michael Coles, Binyamin Ravina Abramowitz

Binyamin Ravina Abramowitz, Michael Coles, Department of Gastroenterology and Hepatology, SUNY Downstate Health Sciences University, Brooklyn, NY 11203, United States

Ayse Aytaman, Bani Chander-Roland, Daniel Anthony DiLeo, Department of Gastroenterology and Hepatology, Brooklyn Campus of the Veterans Affairs New York Harbor Healthcare System, Brooklyn, NY 11209, United States

Author contributions: Abramowitz BR, Coles M, and Aytaman A contributed to manuscript writing and editing; DiLeo DA and Chander-Roland B contributed to conceptualization and supervision; and all authors have read and approved the final manuscript.

Informed consent statement: Informed consent was obtained from the patient prior to the submission of this manuscript.

Conflict-of-interest statement: All authors have no relevant conflicts of interests to disclose.

CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016)

Corresponding author: Binyamin Ravina Abramowitz, MD, Researcher, Department of Gastroenterology and Hepatology, SUNY Downstate Health Sciences University, 450 Clarkson Avenue Brooklyn, NY 11203, United States. binyamin.abramowitz@downstate.edu

Received: January 29, 2024
Revised: April 9, 2024
Accepted: May 6, 2024
Published online: June 26, 2024
Processing time: 141 Days and 8.4 Hours

Core Tip

Core Tip: Thromboembolism is a severe but clinically common complication of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Thrombotic events classically occur in infected patients who are critically ill, and typically present as deep vein thrombosis or pulmonary embolism. We report a rare case of a patient with SARS-CoV-2 infection complicated by simultaneous portal vein thrombosis and splenic artery thrombosis. A presentation of moderate to severe abdominal pain in SARS-CoV-2 patients should trigger prompt abdominal imaging, as early diagnosis and treatment of splanchnic thrombosis with anticoagulation leads to favorable outcomes.