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Unusual presentation of more common disease/injury
Case report
Left gonadal vein thrombosis in a patient with COVID-19-associated coagulopathy
  1. Maedeh Veyseh1,
  2. Prateek Pophali1,
  3. Apoorva Jayarangaiah2 and
  4. Abhishek Kumar2,3
  1. 1Medicine, Jacobi Medical Center, Bronx, New York, USA
  2. 2Hematology and Oncology, Jacobi Medical Center, Bronx, New York, USA
  3. 3Hematology and Oncology, Yeshiva University Albert Einstein College of Medicine, Bronx, New York, USA
  1. Correspondence to Dr Abhishek Kumar; kumara20{at}nychhc.org

Abstract

COVID-19 disease is a viral illness that predominantly causes pneumonia and severe acute respiratory distress syndrome. The endothelial injury and hypercoagulability secondary to the inflammatory response predisposes severely ill patients to venous thromboembolism. The exact mechanism of hypercoagulability is still under investigation, but it is known to be associated with poor prognosis. The most common thrombotic complication reported among these patients is pulmonary embolism. To our knowledge, gonadal vein thrombosis is an uncommon phenomenon that has not been reported in the setting of COVID-19-associated coagulopathy. We report an unusual case of ovarian vein thrombosis and pulmonary embolism associated with COVID-19 presenting with abdominal pain. To our knowledge, this is the first reported case of COVID-19 with absent respiratory symptoms and presentation with venous thrombosis in an unusual location.

  • venous thromboembolism
  • pulmonary embolism
  • haematology (incl blood transfusion)
  • obstetrics
  • gynaecology and fertility
  • infectious diseases

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-2020-236786

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    Footnotes

    • Contributors Supervised and reviewed by AK. Patient was under the care of MV. Report was written by MV, AJ and PP.

    • 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.

    • Patient consent for publication Obtained.

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