Gastrointestinal Perforation in a COVID-19 Patient

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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“…The proposed mechanisms of viral injury to the gastrointestinal tract have already been discussed. At present, 8 single case reports have been published worldwide 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 . One case series with 7 patients was also published by Norsa et al 14 , but it provides little information on diagnosis, surgical findings, and previous treatment.…”

Section: Discussionmentioning

confidence: 99%

“…It has been designated as a COVID-only hospital, and patients have been admitted and treated in its 150 beds since May 2020. According to our search of the literature, few reports have been published regarding bowel ischemia or perforation in patients with SARS-CoV-2 infection 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 .…”

Section: Introduction and Aimmentioning

confidence: 99%

Severe bowel complications in SARS-CoV-2 patients receiving protocolized care

Estevez-Cerda

Saldaña-Rodriguez

Alam-Gidi

et al. 2021

Revista de Gastroenterología de México (English Edition)

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Introduction and aims A case series of ten patients that received protocolized care for SARS-CoV-2 infection and developed severe gastrointestinal complications, is presented. The aim of our study was to contribute to the ongoing discussion regarding gastrointestinal complications related to SARS-CoV-2 infection. After reviewing the current literature, ours appears to be the first detailed case series on the topic. Materials and methods A retrospective filtered search of all patients admitted to our hospital for SARS-CoV-2 infection, who developed severe gastrointestinal complications, was performed. All relevant data on hospital patient management, before and after surgery, were collected from the medical records. Results Of the 905 patients admitted to our hospital due to SARS-CoV-2 infection, as of August 26, 2020, ten of them developed severe gastrointestinal complications. Seven of those patients were men. There were four cases of perforation of the proximal jejunum, three cases of perforations of the ascending colon, one case of concomitant perforation of the sigmoid colon and terminal ileum, one case of massive intestinal necrosis, and one preoperative death. Three right colectomies, four intestinal resections, one Hartmann’s procedure with bowel resection, and one primary repair of the small bowel were performed. The mortality rate of the patients analyzed was 50%. Conclusion Spontaneous bowel perforations and acute mesenteric ischemia are emerging as severe, life-threatening complications in hospitalized SARS-CoV-2 patients. More evidence is needed to identify risk factors, establish preventive measures, and analyze possible adverse effects of the current treatment protocols.

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“…L Marco and et al highlighted acute intestinal manifestations in Covid-19 patients and they pointed out the awareness among them. There are other reports too [10]. Kangas-Dick, et al [11] also reported a case of duodenal perforation in Covid-19 case with severe pneumonia.…”

Section: Severalmentioning

confidence: 95%