Acute right-sided ischemic colitis in a COVID-19 patient: a case report and review of the literature

Autor: Hefzi Alratrout, Eric Debroux
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of Medical Case Reports, Vol 16, Iss 1, Pp 1-5 (2022)
Druh dokumentu: article
ISSN: 1752-1947
DOI: 10.1186/s13256-022-03276-z
Popis: Abstract Introduction In addition to attacking the respiratory system, the coronavirus disease may attack the gastrointestinal tract in various ways, one of which is by creating a coagulopathy that may lead to acute ischemia of the bowel, increasing morbidity and mortality rates in these patients. Presentation of case We present a case of a white 72-year-old European male, who was admitted to the intensive care unit after developing COVID-19-induced acute respiratory distress syndrome. On the third week, despite a favorable evolution of his respiratory symptoms, the patient became clinically septic; laboratory findings showed an augmentation of his d-dimer, fibrinogen, C-reactive protein, and procalcitonin levels. Imaging showed signs of ischemia of the right colon. The patient was taken to the operating room; only the right side of his colon was ischemic, with a well demarcated cut-off. A laparoscopic right hemicolectomy with a terminal ileostomy was performed. The patient was able to go home 2 weeks after surgery. Discussion and conclusion Ischemic colitis is an uncommon pathology in the general population, and is rare in COVID-19 patients. Most cases of ischemic colitis in COVID-19 patients in the literature were limited to the left colon, with
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