Portal vein thrombosis in a pandemic era

Portal vein thrombosis (PVT) is the blockage or narrowing of the portal vein by a thrombus being a relatively rare condition, linked to the presence of an underlying liver disease or prothrombotic disorders. We present the case of a 55-year-old woman, who was rushed to a territorial hospital for abdominal pain in her right flank, accompanied by nausea and vomiting for about a week. Following clinical, paraclinical investigations and exploratory laparoscopy, the suspicion of transverse colon tumor was raised, later refuted by exploratory laparotomy that detected an enteromesenteric infarction in the ileum, with localized peritonitis, for which a segmental enterectomy with termino-terminal anastomosis was performed, with a slow favorable evolution. Two months later, the patient went to the "Sf Spiridon" Hospital in Iasi for transit disorders associated with rectal hemorrhages. Following paraclinical investigations, a co-infection with Clostridium Difficile and Sars-Cov-2 was identified, for which adequate treatment was lead, but with the persistence of rectorages, which is why a computed tomography (CT) scan was performed. Imaging revealed thrombosis of the port system and the superior mesenteric vein, and it was initiated anticoagulant therapy. The paper will help raise awareness of the complexity of cases associated with portal vein thrombosis.