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Case report
Extrahepatic portal vein thrombosis in a pregnant patient with COVID-19: a rare thrombotic event survivor
  1. Mukta Agarwal1,
  2. Smita Singh1,
  3. Upasna Sinha2 and
  4. Divendu Bhushan3
  1. 1Obstetrics and Gynaecology, AIIMS Patna, Patna, Bihar, India
  2. 2Department of Radiodiagnosis, AIIMS Patna, Patna, Bihar, India
  3. 3General Medicine, All India Institute of Medical Sciences Patna, Patna, India
  1. Correspondence to Dr Divendu Bhushan; drdivendubhushan{at}aiimspatna.org

Abstract

A COVID-19 infection predisposes the infected person to thrombotic events. Myocardial infarction, acute limb ischaemia, mesenteric artery thrombosis and pulmonary embolism are all well-documented complications of this infection. Here we describe a pregnant patient who presented with obstructed labour with asymptomatic COVID-19 infection and developed ascites during the postoperative period. Further work-up of the patient revealed portal hypertension due to portal vein thrombosis (PVT). As the patient was healthy before this index pregnancy, a causative link between COVID-19 and PVT cannot be ruled out. Her COVID-19 infection progressed to a moderate disease. She was managed with steroids and appropriate antibiotics for secondary bacterial peritonitis. She was finally discharged after 2.5 months of multidisciplinary treatment. This is a case of a survivor of complications due to pregnancy, COVID-19 and extrahepatic portal vein obstruction.

  • COVID-19
  • pregnancy
  • adult intensive care

This article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.

https://bmj.com/coronavirus/usage

https://doi.org/10.1136/bcr-2021-243697

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    Footnotes

    • Contributors MA: patient care, manuscript writing. SS: patient care, collection of data. US: radiological assistance. DB: patient care, manuscript editing.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.