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Axillary artery thrombosis resulting in upper limb amputation as a COVID-19 sequela

Publication Type : Journal Article

Publisher : BMJ Case Reports

Source : BMJ Case Reports, 2021;14:e240981. doi:10.1136/bcr-2020240981.

Url : https://pubmed.ncbi.nlm.nih.gov/33500313/

Campus : Kochi

School : School of Medicine

Department : General Surgery

Year : 2021

Abstract : Novel COVID-19 continues to intrigue medical professionals with its varied presentations. Though it affects the respiratory tract primarily, thrombogenesis has been the Achilles' heel. A 44-year-old man diagnosed with COVID-19 presented with upper limb pain at a local hospital and was found to have thrombosis of the right axillary artery. Despite a successful embolectomy at the local hospital, there was re-occlusion of the axillary artery and the limb became ischaemic. He was referred to our institution by which time the limb became gangrenous above the elbow and had to be amputated. Extensive sloughing of the nerves was also seen in the local area. Hypercoagulability presenting with various manifestations is common in COVID-19 and needs early anticoagulation. We present this asymptomatic patient who lost a limb to this COVID-19 sequelae.

Cite this Research Publication : Ramachandran R, Vasudevan Pillai A, Raja S, Sailakshmi S., "Axillary artery thrombosis resulting in upper limb amputation as a COVID-19 sequela," BMJ Case Reports, 2021;14:e240981. doi:10.1136/bcr-2020240981.

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