Affiliation:
1. Ministry of Heathcare & Nutrition, Indigenous medicine
Abstract
Abstract
BACKGROUND
Gastrointestinal (GI) symptoms are common in SARS-CoV-2 patients. In addition, life-threatening complications have started to report from patients with severe SARS-CoV-2 infection. We are reporting the morbid large bowel perforation in an asymptomatic patient with SARS-CoV- 2.
CASE HISTORY
She was a 52-year-old healthy woman who developed an acute abdomen and developed septic shock before admission. Severe fecal contamination was noted at the time of laparotomy. She was not responded to resuscitative measures and expired after a few hours of admission. Her histology shows features of mesenteric ischemia.
CONCLUSION
SARS-CoV-2 infection is often mild. However, mesenteric ischemia and subsequent complication often develop in patients with severe SARS-CoV-2 infection, which require intensive care admissions. Abdominal pain in such patients is frequently taken seriously and further investigated. However, asymptomatic patients with mesenteric ischemia can be diagnosed late, leading to loss of lives.
Publisher
Research Square Platform LLC
Reference23 articles.
1. Silva FAF da, Brito BB de, Santos MLC, Marques HS, Silva Júnior RT da, Carvalho LS de, et al. COVID-19 gastrointestinal manifestations: a systematic review. Rev Soc Bras Med Trop. 2020;53:e20200714.
2. Gastrointestinal Manifestations of SARS-CoV-2 Infection and Virus Load in Fecal Samples From a Hong Kong Cohort: Systematic Review and Meta-analysis;Cheung KS;Gastroenterology,2020
3. Gastrointestinal symptoms of 95 cases with SARS-CoV-2 infection;Lin L;Gut,2020
4. COVID-19 can mimic acute cholecystitis and is associated with the presence of viral RNA in the gallbladder wall;Balaphas A;J Hepatol,2020
5. SARS-CoV-2 in the bile of a patient with COVID-19-associated gallbladder disease;Liao Y;Endoscopy,2020