PDF(Pubmed)
Abstract：
This article demonstrates the need for abdominal imaging in COVID-19 patients with systemic symptoms in the differential diagnosis of acute mesenteric ischemia and critical COVID-19 pneumonia. We detail the case of a 91-year-old man, initially diagnosed with severe COVID-19 pneumonia, who was later found to have acute mesenteric ischemia through abdominal CT imaging, despite lacking typical abdominal symptoms. Abdominal CT revealed intramural and portal emphysema, leading to a diagnosis of acute mesenteric ischemia. Given the patient\'s advanced age and poor condition, supportive care was chosen, with the patient passing away 12 hours post-admission. This case highlights the critical need for comprehensive evaluation, including abdominal imaging, in COVID-19 patients with systemic symptoms to identify other serious conditions like acute mesenteric ischemia, especially in the absence of specific abdominal pain. Early detection is vital for appropriate management and improved patient outcomes.
摘要：
本文证明有全身症状的COVID-19患者在鉴别诊断急性肠系膜缺血和重症COVID-19肺炎中需要腹部影像学检查。我们详述了一个91岁的老人的案子,最初诊断为严重的COVID-19肺炎，后来通过腹部CT成像发现患有急性肠系膜缺血，尽管缺乏典型的腹部症状。腹部CT显示壁内和门脉气肿，导致急性肠系膜缺血的诊断。鉴于患者的高龄和不良状况，选择了支持性护理，病人在入院后12小时去世。这一案例凸显了全面评估的迫切需要，包括腹部成像,在有全身症状的COVID-19患者中，以识别其他严重疾病，如急性肠系膜缺血，尤其是在没有特定腹痛的情况下。早期发现对于适当的管理和改善患者预后至关重要。
