Coronavirus 2019 (COVID-19) is associated with a high incidence of thromboembolic events. Patients with severe form have a higher risk as well as those with embolic factors (high age, obesity, diabetes, etc.). Acute mesenteric thrombosis is among the complications to be feared during this pandemic even in patients who do not have embologenic factors. The objective of this study is to discuss and understand the mechanism of occurrence of acute mesenteric thrombosis during COVID-19 infection. The case studied is about an old woman (64 years old) with only recent history of covid-19 infection who consults for acute abdominal pain with occlusive syndrome. Thoracoabdominal CT showed superior mesenteric arterial and venous thrombosis and bilateral mid-lobe pneumonia. The patient progressed well on anticoagulant therapy. Rare cases of mesenteric ischemia secondary to vein and/or mesenteric artery thrombosis have been described during this pandemic; this requires therapeutic and preventive management of thromboembolic disease in patients to reduce mortality of this disease.
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