Successful vascular interventional management of superior mesenteric vein thrombosis in a patient with COVID-19: A case report and review of literature

Ebrahiminik, Hojat; nikpour, Shahriar; Yazdi, Hadi Rokni; Mohammadi, Afshin; Mirza-Aghazadeh-Attari, Mohammad

COVID-19 is associated with thrombosis formation in various vessels, including those in the abdomen. In this case report, we present a COVID-19 infected patient who had developed abdominal discomfort. The patient underwent magnetic resonance imaging, which showed signs of thrombosis formation in the superior mesenteric vein (SVM). After conservative treatment failed, the patient was considered for vascular intervention. The SMV clot underwent thrombolysis via the infusion of reteplase (dose 6 mg stat, followed by 1mg every hour) through a 5F perfusion Cather (Cragg-McNamara, 20 Cm). Control venography showed near-complete recanalization. The patient was discharged with oral anticoagulants. Our case report is one of the first incidents of successful vascular intervention in SMV thrombosis in the setting of COVID-19.