DOI: 10.36347/sjams.2022.v10i08.019

Pages: 1277-1281

Objectives: To present our experience and outcome in the management of acute mesenteric ischemia (AMI) as a thromboembolic complication of COVID 19 infection at king hussein medical center/ Royal Medical Services. Methods: A retrospective single center study conducted on patients with active COVID 19 infection who presented with AMI between the period of March 2020 and December 2021. Results: 23 patients have presented to our vascular surgery department with AMI, mean age was 69 years old. 12 patient were males and 11 patients were females. 6 patients had abdominal pain with no peritonitis while 15 patients had physical signs of peritonitis. Two patients presented with sepsis and hemodynamic unstability. 8 patients were managed conservatively with mortality rate reaching up to 50% among them. 15 patients had exploratory laparatomy, 5 of them found to have total dead bowel and 10 patients were managened with superior mesenteric artery thromboembolectomy leading to a mortality rate as low as 10% among them. Including total number of patients, 10 has died while 13 survived successfully with the mortality rate reaching up to 43.4% all over. Conclusion: Early recognition and prompt management with subsequent revascularization has improved the survival rate of COVID 19 patients presenting with AMI.