Acute mesenteric vein thrombosis in a patient with Covid 19

The Covid-19 pandemic has introduced an array of organ-specific and systemic phenotypes- some previously observed in viral infections, including severe acute respiratory syndrome (SARS) and others that appear to be unique to SARS-coronavirus (CoV)-2. The coronavirus disease affects mainly the respiratory system, other organs may be involved, usually due to coagulation disturbances that lead to a high rate of thrombotic complication. We describe a case of a 59-year-old male, with Sars Cov-2 who infection developed an acute superior mesenteric venous thrombosis (MVT) with acute intestinal obstruction. The patient came to our observation with an acute abdomen condition for which urgent surgery with intestinal resection and subsequent second look was necessary. Bowel viability was favoured by direct infusion of heparin in superior mesenteric vein. This is a rare presentation of Covid19 associated superior mesenteric vein (SMV) thrombosis resulting in ischaemic bowel. © 2021 Surgical Society of Northern Greece. All rights reserved.