An Unusual Case of Gastrointestinal Bleeding in a Patient With COVID-19

Sanku, Koushik; Siddiqui, Abdul Hasan; Paul, Vishesh; Ali, Moeez

doi:10.7759/cureus.13901

Cited by 4 publications

(4 citation statements)

References 6 publications

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“…Sanku et al [ 29 ] noticed, that gastrointestinal bleeding is a rare and unusual finding since patients with COVID-19 are often hypercoagulable, so they are more likely to clot than to bleed. In our study, we noticed digestive tract hemorrhage from the upper part in 1.4% of the patients presenting dyspnea.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Gastrointestinal Symptoms and Dyspnea in Patients Hospitalized due to COVID-19: Contribution to Clinical Course and Mortality

Kaliszewski

Diakowska

Nowak

et al. 2022

JCM

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Gastrointestinal manifestations may accompany the respiratory symptoms of COVID-19. Abdominal pain (AP) without nausea and vomiting is one of the most common. To date, its role and prognostic value in patients with COVID-19 is still debated. Therefore, we performed a retrospective analysis of 2184 individuals admitted to hospital due to COVID-19. We divided the patients into four groups according to presented symptoms: dyspnea, n = 871 (39.9%); AP, n = 97 (4.4%); AP with dyspnea together, n = 50 (2.3%); and patients without dyspnea and AP, n = 1166 (53.4%). The patients with AP showed tendency to be younger than these with dyspnea, but without AP (63.0 [38.0–70.0] vs. 65.0 [52.0–74.0] years, p = 0.061), and they were more often females as compared to patients with dyspnea (57.7% vs. 44.6%, p = 0.013, for females). Patients with AP as a separate sign of COVID-19 significantly less often developed pneumonia as compared to individuals with dyspnea or with dyspnea and AP together (p < 0.0001). Patients with AP or AP with dyspnea were significantly less frequently intubated or transferred to the intensive care unit (p = 0.003 and p = 0.031, respectively). Individuals with AP alone or with dyspnea had significantly lower rate of mortality as compared to patients with dyspnea (p = 0.003). AP as a separate symptom and also as a coexisting sign with dyspnea does not predispose the patients with COVID-19 to the worse clinical course and higher mortality.

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Section: Discussionmentioning

confidence: 99%

Assessment of Gastrointestinal Symptoms and Dyspnea in Patients Hospitalized due to COVID-19: Contribution to Clinical Course and Mortality

Kaliszewski

Diakowska

Nowak

et al. 2022

JCM

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“… 9 , 10 Mucosal damage directly by the virus is shown to cause GI bleed, which would be perpetuated by concomitant anticoagulation therapy in sick COVID-19 patients to prevent vascular thrombosis. 11 , 12 …”

Section: Discussionmentioning

confidence: 99%

Abdominal Computed Tomography Findings among COVID-19 Patients with Index Gastrointestinal Manifestations: A Preliminary Single-center Experience

Patel

Chandel

Mittal

et al. 2021

Euroasian Journal of Hepato-Gastroenterology

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A bstract Background About 20% of COVID-19 patients can have digestive symptoms, apart from the typical chest-related symptoms, and 10% of patients may have only gastrointestinal (GI) symptoms during their entire disease course. Aim and objective The purpose of this study was to describe the spectrum of abdominal computed tomographic (CT) findings in a cohort of 15 COVID-19 patients (confirmed on reverse transcription polymerase chain reaction (RT-PCR)) who presented with various GI presentations without preceding respiratory symptoms. Materials and methods A total of 93 patients with COVID-19 (confirmed on RT-PCR) who underwent CT imaging (between September 28, 2020 and March 20, 2021) in our center were retrospectively searched from the existing database. Among those, 15 patients having index presentation with abdominal symptoms and underwent CT abdomen were further evaluated. Results Biliary stasis in the form of distended gallbladder and wall thickening was the most common finding, seen in 66.7% ( n = 10) patients, followed by bowel wall thickening. Small bowel and large bowel thickenings were seen in 26.7% ( n = 4) and 20% ( n = 3) patients, respectively. Other findings include fluid-filled colon ( n = 1), mesenteric venous thrombosis (MVT) ( n = 2), paper-thin bowel wall and pneumatosis ( n = 1), acute pancreatitis ( n = 1), and ascites ( n = 2). One patient who presented with abdominal pain did not show any obvious imaging findings on CT. Conclusion Patients with COVID-19 can present with initial GI symptoms preceding typical respiratory symptoms. CT imaging helps in identifying the GI involvement, to rule out alternate etiologies, and also aids in appropriate management planning. How to cite this article Patel RK, Chandel K, Mittal S, et al . Abdominal Computed Tomography Findings among COVID-19 Patients with Index Gastrointestinal Manifestations: A Preliminary Single-center Experience. Euroasian J Hepato-Gastroenterol 2021;11(2):76–80.

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“…Based on the SARS-CoV-2 impact on the tissues, many visual symptoms can be observed and used for the purpose of differential diagnosis. Breathlessness, fatigue, fever and cough can be mentioned as the most common symptoms (22,23). Neurological symptoms like a loss of smell (ansomia), dyspnea, and loss of taste can be also manifested though a delay of some days after the main symptoms can be expected (24)(25)(26).…”

Section: The Basic Facts About Covid-19mentioning

confidence: 99%

Point-of-care diagnosis of COVID-19 disease based on antigen tests

Pohanka¹

2021

BLL

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AIMS: This review is focused on the laboratory diagnoses of the coronavirus disease 2019 (COVID-19) by recognizing the antigen of the causative agent SARS-CoV-2 virus. Various antigen tests are available in this moment and these tests are being further developed in order to reach a better diagnostic value. The issue is reviewed in a complex view. METHODS: In this work, a complex survey of the current literature was made. The relevant and recent papers related to antigen tests of COVID-19 are discussed and cited. Basic specifi cations of the antigen tests and competitive methods were also scrutinized in the current literature. RESULTS: The survey of the current literature (years 2019 -2021) was made and diagnostic methods like lateral fl ow tests (lateral fl ow immunochromatographic assay) and various types of biosensors were specifi ed as tools for COVID-19 diagnosis and their application to be used as a point-of-care test is considered. CONCLUSIONS: Small hand-held assays applicable in the point-of-care conditions for diagnosis of COVID-19 by analysis of SARS-CoV-2 antigen are the means of a growing interest and these means undergo a signifi cant development leading to the improvements of their specifi cations and applicability to the current praxis. Merit of the assays is discussed in this paper (Tab. 3, Fig. 2, Ref. 109).

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An Unusual Case of Gastrointestinal Bleeding in a Patient With COVID-19

Cited by 4 publications

References 6 publications

Assessment of Gastrointestinal Symptoms and Dyspnea in Patients Hospitalized due to COVID-19: Contribution to Clinical Course and Mortality

Assessment of Gastrointestinal Symptoms and Dyspnea in Patients Hospitalized due to COVID-19: Contribution to Clinical Course and Mortality

Abdominal Computed Tomography Findings among COVID-19 Patients with Index Gastrointestinal Manifestations: A Preliminary Single-center Experience

Point-of-care diagnosis of COVID-19 disease based on antigen tests

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