Intussusception in an infant as a manifestation of COVID-19

Moazzam, Zorays; Salim, Adnan; Ashraf, Alina; Jehan, Fyezah; Arshad, Muhammad

doi:10.1016/j.epsc.2020.101533

Cited by 50 publications

(76 citation statements)

References 18 publications

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“…Intussusception is the most common abdominal emergency in young children [ 6 ] and the most common cause of intestinal obstruction in children between 3 months and 6 years [ 7 ] . There have been three reported cases of intussusception associated with COVID-19 worldwide [ 1 – 3 ] with ours being the fourth case and the first in the USA. A comparison of our case with the other documented cases is included in Table 2 .…”

Section: Discussionmentioning

confidence: 94%

“…There have been three reported cases of intussusception associated with COVID-19 worldwide [ 1 – 3 ] with ours being the fourth case and the first in the USA.…”

Section: What’s New?mentioning

confidence: 94%

“…Additionally, gastrointestinal (GI) symptoms have been documented to occur more commonly in children than in adults. Intussusception is a possible but rare GI manifestation of COVID-19 infection with only three other reported cases worldwide [ 1 – 3 ], making this case the first of its kind to be reported in the USA.…”

Section: Introductionmentioning

confidence: 99%

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Intussusception in a child with COVID-19 in the USA

et al. 2020

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COVID-19, caused by the novel coronavirus strain SARS-CoV-2 that emerged in late 2019, has resulted in a global pandemic. COVID-19 was initially believed to occur less frequently in children with relatively mild disease. However, severe disease and varied presentations have been reported in infected children, one of such being intussusception. There have only been three reported cases of intussusception in the pediatric population infected with COVID-19. In this paper, we will discuss the management and treatment of a novel fourth case of COVID-19-associated intussusception. This case is the first reported in the USA and suggests that COVID-19 may be implicated in the development of intussusception. Pediatricians should consider the possibility of intussusception when a child with COVID-19 presents with abdominal pain.

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Section: Discussionmentioning

confidence: 94%

“…There have been three reported cases of intussusception associated with COVID-19 worldwide [ 1 – 3 ] with ours being the fourth case and the first in the USA.…”

Section: What’s New?mentioning

confidence: 94%

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Intussusception in a child with COVID-19 in the USA

et al. 2020

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“…A rare ultrasound finding reported in pediatric cases of SARS-CoV-2 infection is ileocolic intussusception. Three separate cases have reported this imaging finding [44][45][46]. Another two SARS-CoV-2-positive patients have been reported to have intussusception, though it is not known if their condition was identified through imaging modalities [47,48].…”

Section: Abnormal Abdominal Imaging Findingsmentioning

confidence: 99%

Abdominal imaging findings in patients with SARS-CoV-2 infection: a scoping review

2020

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Purpose This scoping review evaluated the currently available data related to abdominal imaging in the SARS-CoV-2 infection. Method A systematic review of MEDLINE, EMBASE, SCOPUS, and Web of Science was performed from inception to July 15, 2020 using PRISMA-ScR guidelines. The review included case reports and series discussing radiologic manifestations of SARS-CoV-2 infection in abdominal imaging studies.

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“…COVID-19 has also been reported to cause intussusception in children, and pediatric surgeons in an epidemic area should be aware of this. [15][16] Surgical treatment was required in 14 (43.8%) patients. Others improved with conservative treatment.…”

Section: Resultsmentioning

confidence: 99%

Outcome of COVID-19 with Co-Existing Surgical Emergencies in Children: Our Initial Experiences and Recommendations

Hasan

Ali

Huq³

2020

Preprint

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Background: COVID-19 has changed the practice of surgery vividly all over the world. This has already lead to a huge burden of rescheduled pediatric surgical cases worldwide. Though children are less likely to be infected and suffer less when infected, there is a growing fear among health care workers of being self-infected, which is limiting the surgical care of children globally. This study aims to share our experiences with the outcome of COVID-19 in children who had a co-existing surgical emergency, which might help the pediatric surgeons globally to mitigate the effect of COVID 19 on pediatric surgery.Methods: This is a retrospective observational study. We reviewed the epidemiological, clinical, and laboratory data of all patients admitted in our surgery department through the emergency department and later diagnosed to have COVID-19 by RT-PCR. During April 2020 – June 2020. A nasopharyngeal swab was taken from all patients irrespective of symptoms to detect SARS CoV 2 by RT-PCR to identify and isolate asymptomatic patients and patients with atypical symptoms. We divided the test positive patients into 4 age groups for the convenience of data analysis. Data were retrieved from hospital records and analyzed using SPSS (version 25) software. Ethical permission was taken from the hospital ethical review board.Results: Total patients were 32. Seven (21.9%) of them were neonates. Twenty-four (75%) patients were male. The predominant diagnosis was acute abdomen followed by infantile hypertrophic pyloric stenosis (IHPS), myelomeningocele, and intussusception. Only two patients had mild respiratory symptoms (dry cough). Fever was present in 13 (40.6%) patients. Fourteen (43.8%) patients required surgical treatment. The mean duration of hospital stay was 5.5 days. One neonate with ARM died in the post-operative ward due to cardiac arrest. No patient had hypoxemia or organ failure. Seven health care workers (5.51%) including doctors & nurses got infected with SARS Co V2 during this period.Conclusion: Our study has revealed a milder course of COVID-19 in children with minimal infectivity even when present in association with emergency surgical conditions. This might encourage a gradual restart to mitigate the impact of COVID-19 on children’s surgery.

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Intussusception in an infant as a manifestation of COVID-19

Cited by 50 publications

References 18 publications

Intussusception in a child with COVID-19 in the USA

Intussusception in a child with COVID-19 in the USA

Abdominal imaging findings in patients with SARS-CoV-2 infection: a scoping review

Outcome of COVID-19 with Co-Existing Surgical Emergencies in Children: Our Initial Experiences and Recommendations

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