Splenic Artery Infarct Requiring Surgery: A Rare Complication of COVID-19 Infection

Table 1

Timeline of clinical sequelae of the patient.

Time	Event
Day 0 (hospital admission)	SARS-CoV-2 infection—fever, dry cough, dyspnea-HNPC
Day 2	Increased abdominal pain—first CT scan (no pathology)
Day 14	Increased abdominal pain—second CT scan (splenic artery infarct and hypoperfusion on the spleen). Gradual respiratory improvement-venturi mask 50%. Start of LMWH (enoxaparin)
Day 17	Portosplenic vein triplex: incomplete splenic artery obstruction, normal blood flow in splenic and portal vein
Day 21	Severe abdominal pain—first surgical operation: laparotomy and splenectomy
Day 26	Fever and high CRP
Day 28	No need for supplementary oxygen
Day 32	Fever—new onset of abdominal pain; Third CT scan (hematoma at the splenic bed)
Day 45	Second surgical operation: evacuation of the hematoma, washing of the peritoneal cavities and drains
Day 53	Revision CT scan of the chest: confirms the damage to the lungs that was made by coronavirus
Day 56	Discharge from hospital