Caught Off Guard with COVID-19 Bowel Gangrene: A Case Report
| Autor: | Yashaswini Kenchappa, Shalini Hegde, Maria Frances Bukelo, Prasanna Kumar, A V Lalitha |
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| Rok vydání: | 2020 |
| Předmět: |
Gangrene
medicine.medical_specialty Abdominal pain Gastrointestinal tract Coronavirus disease 2019 (COVID-19) business.industry Microvascular thrombosis Bowel gangrene COVID-19 Case Report Critical Care and Intensive Care Medicine medicine.disease Gastroenterology Internal medicine medicine Mesenteric hernia Histopathology medicine.symptom Presentation (obstetrics) Thrombus business Index case |
| Zdroj: | Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine |
| ISSN: | 1998-359X 0972-5229 |
| DOI: | 10.5005/jp-journals-10071-23681 |
| Popis: | Background Isolated and predominant gastrointestinal presentation in coronavirus disease 2019 (COVID-19) is reported less often. With evolving evidence that gastrointestinal tract can be a portal of entry, multiplication, primary site of affliction and symptomatic manifestation, and source of infectivity through prolonged fecal shedding of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV2), it is essential that isolated gastrointestinal symptoms can also be a mode of presentation of this novel virus and illness. Case description The index case is a 10-year-old female child who presented with acute onset abdominal pain. Emergency surgery showed extensive gangrenous small bowel. The small bowel had herniated into a transmesenteric defect near the mid-ileum and was obstructed. Reverse-transcription polymerase chain reaction for SARS-CoV2 sent as preoperative work-up turned positive. The histopathology showed platelet aggregate thrombus in the venules with patent adjacent arterioles. Conclusion This is probably the first reported case of COVID-19-related bowel gangrene. How to cite this article Kenchappa Y, Hegde S, Kumar P, Lalitha AV, Bukelo M. Caught Off Guard with COVID-19 Bowel Gangrene: A Case Report. Indian J Crit Care Med 2020;24(12):1269–1271. |
| Databáze: | OpenAIRE |
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