Severe COVID-19 infection can lead to ischaemic colitis

What is it about?

Clinical manifestations of Covid-19 are various, most common are respiratory symptoms - fever, cough, and dyspnea. Many of the patients require acute hospital care, a smaller group of them are hospitalized in intensive care units. A subset of patients these critically ill patients demonstrates clinically remarkable hypercoagulability and thus a predisposition to venous and arterial thromembolism, manifested by thrombotic events randge from acute pulmonary embolism, splanchnic vascular ischemia to extremity ischemia. In our article we describe a case of massive bleeding into the gastrointestinal tract due to ischemic enterokolitis in connection with Covid-19 infection.

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Photo by Branimir Balogović on Unsplash

Photo by Branimir Balogović on Unsplash

Why is it important?

In patients with severe COVID-19 pneumonia, we should always assume a hypercoagulable state. In critically ill patients with the need for medical circulatory support, it is necessary to remember the possibility of ischemic complications, and eventually to recognize and treat these complications early.