A Case of Bowel Perforation in a Critically Ill Patient Admitted With Sars-Cov2

The COVID-19 pandemic involved the globe and resulted in major mortalities mainly affecting the respiratory system. Initially thought to be respiratory disease it was later postulated and confirmed the involvement of gastro-intestinal tract (GIT) and its contribution to the complications and mortalities. Herein we present five cases of severe COVID-19 infection with GI involvement and their management.

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“…Patients' details are given below in Table 1 [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] .…”

Section: Resultsmentioning

confidence: 99%

Acute Abdomen in the ERA of COVID 19: Case Series and Literature Review

Al-Qahtani

Al-Kuwari²,

Sameer³

et al. 2022

ijirms

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Colonic Perforation in Critically Ill COVID-19 Patients: A Case Series Highlighting Surgical Management and Outcomes

John,

Anto,

Musthafa

et al. 2024

Cureus

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The COVID-19 pandemic has primarily been characterized by respiratory symptoms, but emerging evidence suggests multi-organ involvement, including the gastrointestinal tract. This case report aims to highlight colon perforation as a rare but significant complication in COVID-19 patients. We present two cases of male patients, aged 38 and 33, who were admitted with severe COVID-19 symptoms and required intubation and ventilator support. Both patients developed abdominal distension during their ICU stay, prompting surgical consultations. In the first case, a 38-year-old male developed septic shock and abdominal distension on day 29 of his hospital stay. An exploratory laparotomy revealed a 2 mm perforation in the sigmoid colon, which was managed with Hartmann’s procedure. In the second case, a 33-year-old male developed abdominal distension one week post-admission. An exploratory laparotomy revealed a 2 mm perforation in the mid-transverse colon, managed initially with a primary two-layer repair and later with a transverse loop colostomy due to additional perforations. These cases emphasize the importance of maintaining a high index of suspicion for gastrointestinal complications, such as colon perforation, in COVID-19 patients. Early diagnosis and surgical intervention are crucial for managing this life-threatening complication. Further research is needed to understand the incidence and underlying mechanisms of colon perforation in COVID-19 patients.

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A Case of Bowel Perforation in a Critically Ill Patient Admitted With Sars-Cov2

Cited by 2 publications

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Acute Abdomen in the ERA of COVID 19: Case Series and Literature Review

Acute Abdomen in the ERA of COVID 19: Case Series and Literature Review

Colonic Perforation in Critically Ill COVID-19 Patients: A Case Series Highlighting Surgical Management and Outcomes

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