Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection has been associated with a high incidence of arterial and venous thrombotic complications. However, thromboembolic events in unusual sites such as limb and visceral arterial ischemia are reported rarely in the literature. Herein, we describe a rare case of a patient with severe coronavirus disease 2019 (COVID-19) infection who experienced severe abdominal pain during the hospitalization and presented simultaneously renal artery, splenic artery and vein as well as aortic thrombi despite prophylactic antithrombotic treatment. Information about his follow-up post discharge is also provided. This case report raises significant clinical implications regarding the correct dose of antithrombotic treatment during the acute phase of the severe COVID-19 infection and highlights the need for incessant vigilance in order to detect thrombosis at unusual sites as a possible diagnosis when severe abdominal pain is present in severe COVID-19 patients.
【저자키워드】 COVID-19, Thrombotic complications, Aortic thrombosis, splenic infarct, renal infarct, 【초록키워드】 Treatment, SARS-CoV-2, coronavirus, thrombosis, Hospitalization, Infection, Diagnosis, Prophylactic, abdominal pain, discharge, Case report, Patient, Follow-up, incidence, Ischemia, Antithrombotic, dose, Severe COVID-19 Infection, acute respiratory syndrome, severe coronavirus disease, acute phase, severe COVID-19 patients, renal, Thromboembolic event, venous, highlight, raise, limb, detect, reported, provided, clinical implication, visceral, 【제목키워드】 Infarct, Simultaneous, Splenic,