Intussusception as a Manifestation of COVID -19

Abstract

COVID 19 has created a havoc in the world and has brought the world to a standstill. Everyday we get to learn something new about the powerful virus. COVID has different varied clinical presentations. Besides respiratory symptoms many children present with GI symptoms during this 2nd wave of COVID. We present a case of a 10 year male child who presented with features of intussusception with a history of URTI 5 days prior to acute abdomen. Unlike other cases where children respond nicely to post operative conventional treatment, this child went downhill inspite of aggressive management in PICU. In view of ongoing pandemic and mother who was found to be COVID positive, a thought if the child could be suffering from COVID and its complications. Throat swab for RTPCR SARS CoV-2 was found to be positive and acute viral inflammatory markers were found to be highly elevated. A diagnosis of Severe COVID-19 with cytokine storm manifesting as intussusception was made. All children with acute abdomen should be evaluated for COVID 19. Out of all the atypical manifestations, intussusception being one of the rare manifestations of COVID 19 [1]. Key words: Covid, intussusception, cytokine storm, RTPCR.