Mallory- Weiss syndrome associated with new coronavirus infection COVID-19
https://doi.org/10.31146/1682-8658-ecg-192-8-175-180
Abstract
The article presents a clinical case of the fatal Mallory- Weiss syndrome, which suddenly developed in an 86-year-old patient with a new coronavirus infection COVID-19, complicated by bilateral polysegmental pneumonia. The patient had no history of gastroesophageal refl ux disease, gastric ulcer or duodenal ulcer. The level of D-dimer on admission was elevated, but the patient was prescribed a reduced dose of anticoagulants (heparin). Despite the initial positive dynamics of the condition, the patient had a wave-like course of COVID-19, followed by the development of Mallory- Weiss syndrome, extremely severe post-hemorrhagic anemia and multiple organ failure, which became the cause of death.
About the Authors
T. V. Goma
Irkutsk State Medical University Health Ministry of Russian Federation
Russian Federation
Russian Federation
Tatyana V. Goma, Assistant of the Department of Faculty Therapy, PhD
st. Krasnogo Vosstaniya, 1, Irkutsk, Irkutsk region, 664003
SPIN: 3686–5360
N. M. Kozlova
Irkutsk State Medical University Health Ministry of Russian Federation
Russian Federation
Russian Federation
Nataliya M. Kozlova, Head of the Department of Faculty Therapy, professor MD professor MD
st. Krasnogo Vosstaniya, 1, Irkutsk, Irkutsk region, 664003
Yu. N. Bykov
Irkutsk State Medical University Health Ministry of Russian Federation
Russian Federation
Russian Federation
Yury N. Bykov, Head of the Department of Neurology, professor MD
st. Krasnogo Vosstaniya, 1, Irkutsk, Irkutsk region, 664003
References
1. Al- Samkari H., Karp Leaf R. S., Dzik W. H., et al. COVID-19 and coagulation: bleeding and thrombotic manifestations of SARS-CoV-2 infection. Blood. 2020;136:489–500. Doi:10.1182/blood.2020006520
2. Cherednikov E.F., Maleev Yu.V., Chernykh A. V., et al. Th e Modern View on Etiology and Pathogenesis of Gastro- Esophageal Laceration Syndrome (Mellori- Weiss Syndrome). Journal of Anatomy and Histopathology. 2016;5(1):86–98. (In Russ.) doi:10.18499/2225–7357– 2016–5–1–86–98
3. Beloborodov V.A., Kozhevnikov M. A., Kelchevskay E. A., et al. Esophageal Hemorrhagic Syndromes. Acta Biomedica Scientifica. 2019;4(3):81–88. (In Russ.) doi:10.29413/ABS.2019–4.3.10
4. Blevins C.H., Iyer P. G., Vela M. F., Katzka D. A. Th e Esophageal Epithelial Barrier in Health and Disease. Clinical gastroenterology and hepatology. 2018;16(5):608– 617. Doi:10.1016/j.cgh.2017.06.035
5. Zhang H., Penninger J. M., Li Y., et al. Angiotensinconverting enzyme 2 (ACE2) as a SARS-CoV-2 receptor: molecular mechanisms and potential therapeutic target. Intensive care medicine. 2020;46(4):586–590. Doi:10.1007/ s00134–020–05985–9
6. Drapkina O.M., Maev I. V., Bakulin I. G., et al. Diseases of the digestive system in the context of the novel coronavirus infection (COVID-19) pandemic. Temporary guidelines. Тhe Russian Journal оf Preventive Medicine. 2020;23(3):2120–2152. (in Russ.) Doi:10.17116/ profmed202023032120
7. Grinevich V. B., Kravchuk Yu.A., Ped V. I., et al. Management of patients with digestive diseases during the COVID-19 pandemic: Clinical Practice Guidelines by the Gastroenterological Scientifi c Society of Russia. Experimental and Clinical Gastroenterology. 2020;(7):4– 51. (In Russ.) doi:10.31146/1682–8658-ecg-179–7–4–51
8. Avdeev S. N., Adamyan L. V., Alekseeva E. I., et al. Prevention, diagnosis and treatment of new coronavirus infection (COVID-19). Temporary guidelines. Version 11 (05/07/2021). Health Ministry of the Russian Federation. Access mode: https://minzdrav.gov.ru/ministry/med_ covid19/ (In Russ.)
9. Mao R., Qiu Y., He J. S., et al. Manifestations and prognosis of gastrointestinal and liver involvement in patients with COVID-19: a systematic review and meta-analysis. Th e lancet. Gastroenterology & hepatology. 2020;5(7):667–678. Doi:10.1016/S2468–1253(20)30126–6
10. Pan L., Mu M., Yang P., et al. Clinical Characteristics of COVID-19 Patients With Digestive Symptoms in Hubei, China: A Descriptive, Cross- Sectional, Multicenter Study. The American journal of gastroenterology. 2020 May;115(5):766–773. Doi:10.14309/ ajg.0000000000000620
11. Meloy P., Bhambri A. Esophageal Rupture Associated With COVID-19: A Novel Case Report. Cureus. 2020 Dec 24;12(12): e12256. Doi:10.7759/cureus.12256
Review
For citations:
Goma T.V., Kozlova N.M., Bykov Yu.N. Mallory- Weiss syndrome associated with new coronavirus infection COVID-19. Experimental and Clinical Gastroenterology. 2021;(8):175-180. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-192-8-175-180
Views:
517
Email this article 