Colonic perforation in patients with COVID-19 pneumonia – case reports
Authors:
M. Filová; Z. Adamová
Authors place of work:
Chirurgické oddělení, Vsetínská nemocnice, a. s.
Published in the journal:
Rozhl. Chir., 2021, roč. 100, č. 7, s. 353-356.
Category:
Case Report
doi:
https://doi.org/10.33699/PIS.2021.100.7.
Summary
Introduction: Gastrointestinal complications in critically ill patients during the COVID-19 pandemic pose a diagnostic and treatment dilemma.
Case report: We present two cases of SARS-CoV-2 positive patients treated in our department for colon perforation. One patient was operated for a diastasic right colon perforation due to acute over distension of the bowel. The perforation in the second case was associated with chronic diverticulitis.
Conclusion: These cases highlight the fact that besides typical respiratory symptoms and signs of COVID-19, digestive symptoms also occur. These can caused by intestinal perforation, be it directly or due to changing homeostasis of the internal environment.
Keywords:
COVID-19 – spontaneous colon perforation – stercoral peritonitis
Zdroje
- Qi F, Qian S, Zhang S, et al. Single cell RNA sequencing of 13 human tissues identify cell types and receptors of human coronaviruses. Biochem Biophys Res Commun. 2020;526(1):135−140. doi: 10.1016/j.bbrc.2020.03.044.
- Cai J, Xu J, Lin D, et al. A case series of children with 2019 novel coronavirus infection: clinical and epidemiological features. Clin Infect Dis. 2020 Sep 12;71(6):1547−1551. doi: 10.1093/cid/ciaa198.
- Zhang W, Du R-H, Li B, et al. Molecular and serological investigation of 2019-nCoV infected patients: implication of multiple shedding routes. Emerg Microbes Infect. 2020;9:386–389. doi: 10.1080/22221751.2020.1729071.
- Wang D, Hu B, Hu C, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus–infected pneumonia in Wuhan, China. JAMA 2020;323(14):1406−1407.doi: 10.1001/jama.2020.1585.
- Henry BM, de Oliveira MHS, Benoit J, et al. Gastrointestinal symptoms associated with severity of coronavirus disease 2019 (COVID-19): a pooled analysis. Intern Emerg Med. Epub ahead of print 17 April 2020. doi: 10.1007/s11739-020-02329-9.
- Lin L, Jiang X, Zhang Z, et al. Gastrointestinal symptoms of 95 cases with SARS-CoV-2 infection. Gut 2020;69(6):997−1001. doi:10.1136/gutjnl-2020-321013.
- De Nardi P, Parolini DC, Ripa M, et al. Bowel perforation in a Covid-19 patient: case report. Int J Colorectal Dis. Epub ahead of print 27 May 2020. doi: 10.1007/s00384-020-03627-6.
- Kangas-Dick A, Prien C, Rojas K, et al. Gastrointestinal perforation in a critically ill patient with COVID-19 pneumonia. SAGE Open Med Case Rep. 2020;8:2050313X20940570. Published 2020 Jul 16. doi:10.1177/ 2050313X20940570.
- Costanzi A, Monteleone M, Confalonieri M, et al. COVID-19 and acute perforated diverticulitis: management and surgical timing. Minerva Chir. 2020 Dec;75(6):468−470. doi: 10.23736/S0026-4733.20.08487-4. Epub 2020 Sep 25.
- Schwab K, Hamidi S, Chung A, et al. Occult colonic perforation in a patient with coronavirus disease 2019 after interleukin-6 receptor antagonist therapy. Open Forum Infect Dis. 2020 Sep 12;7(11):ofaa424. doi: 10.1093/ofid/ofaa424.
- Almeida Vargas A, Valentí V, Sánchez Justicia C, et al. Severe colon ischemia in patients with severe coronavirus-19 (COVID-19). Rev Esp Enferm Dig. 2020 Oct;112(10):784−787. doi: 10.17235/reed.2020.7329/2020.
Štítky
Surgery Orthopaedics Trauma surgeryČlánok vyšiel v časopise
Perspectives in Surgery
2021 Číslo 7
- Spasmolytic Effect of Metamizole
- Metamizole at a Glance and in Practice – Effective Non-Opioid Analgesic for All Ages
- Metamizole in perioperative treatment in children under 14 years – results of a questionnaire survey from practice
Najčítanejšie v tomto čísle
- Antibiotic therapy in the treatment of skin abscess − meta-analysis
- Surgical site infection and local management of the wound − meta-analysis
- Management of ileocolic intussusception in the Czech Republic
- Colonic perforation in patients with COVID-19 pneumonia – case reports