A Late Presentation of COVID-19 Induced Bowel Ischemia.

Autor:	Annabi HM; Department of Surgery, Texas Tech University Health Sciences Center El Paso, El Paso, Texas., Dodson D; Department of Surgery, Texas Tech University Health Sciences Center El Paso, El Paso, Texas., Applebaum B; Department of Surgery, Texas Tech University Health Sciences Center El Paso, El Paso, Texas., Clapp B; Department of Surgery, Texas Tech University Health Sciences Center El Paso, El Paso, Texas.
Jazyk:	angličtina
Zdroj:	CRSLS : MIS case reports from SLS [CRSLS] 2022 Nov 22; Vol. 9 (4). Date of Electronic Publication: 2022 Nov 22 (Print Publication: 2022).
DOI:	10.4293/CRSLS.2022.00057
Abstrakt:	Introduction: Infection with COVID-19 may lead to extrapulmonary pathologies secondary to the systemic inflammatory effects of the virus. Case Description: This case report discusses a 55-year-old female patient who presented with small bowel obstruction (SBO) several months after resolution of a COVID-19 infection. The patient was surgically treated with a small bowel resection, and eventually made a full recovery. Discussion: The pathophysiology of COVID-19-induced SBO can be explained by the prolonged inflammation and coagulation activation in the bowel's vasculature system. Under these circumstances, microthrombosis occurs in the bowel's microvasculature; the affected intestinal tissue becomes ischemic and infarcted. The damaged bowel is eventually replaced with fibrotic scar tissue, thus promoting bowel stricture and subsequent obstruction. Conclusion: COVID-19 can be responsible for both acute and chronic embolic and thrombotic events in the mesenteric vasculature, which acts as a risk factor in the manifestation of SBO. Competing Interests: Conflict of interests: none. (© 2022 by SLS, Society of Laparoscopic & Robotic Surgeons.)
Databáze:	MEDLINE
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