PATIENT 1
A 61-year old male presented to the emergency room complaining fever and
dyspnea; his SARS-CoV-2 nasopharyngeal swab was positive and chest x-ray
demonstrated smooth airspace opacities in the lower left lung. Six days
after the admission the patient reported acute lower limbs pain with no
femoral pulses. CECT showed a complete occlusion of the infrarenal
abdominal aorta (Figure 1), with thrombus extending into the common and
external iliac arteries and into the common femoral arteries requiring
urgent bilateral surgical thrombectomy; anticoagulation therapy with
heparin was started. Thoracic CT findings were typical for COVID-19,
with bilateral peripheral ground glass opacities, crazy-paving
appearance, lack of pleural effusion. Nine days after the admission
(three after surgery), the patient developed lower back pain associated
with haemoglobin drop and the CT demonstrated bilateral lumbar hematoma,
treated with endovascular embolization.