Acute abdomen in a patient with COVID-19

Authors

  • Juan Mora Delgado Unidad de Gestión Clínica de Medicina Interna y Cuidados Paliativos, Hospital Universitario de Jerez de la Frontera, Cádiz, España https://orcid.org/0000-0002-7633-9794
  • Cristina Lojo Cruz Unidad de Gestión Clínica de Medicina Interna y Cuidados Paliativos, Hospital Universitario de Jerez de la Frontera, Cádiz, España
  • Raquel Escalera Pérez Unidad de Gestión Clínica de Cirugía General y del Aparato Digestivo, Hospital Universitario de Jerez de la Frontera, Cádiz, España
  • Gema Narciso Repilado Unidad de Gestión Clínica de Anatomía Patológica, Hospital Universitario de Jerez de la Frontera, Cádiz, España

DOI:

https://doi.org/10.32818/reccmi.a6n2a4

Keywords:

peritonitis, intestinal perforation, COVID-19, SARS-CoV-2.

Abstract

Among the extrapulmonary manifestations of COVID-19, gastrointestinal pathology is acquiring greater relevance since cases are being observed whose initial symptoms are related to this location, in the total absence of respiratory symptoms. This article aims to illustrate a representative case whose debut was an acute abdomen in the absence of respiratory symptoms. In addition, a link is established between the torpid evolution of the surgical process and COVID-19, reinforced by pathological findings. 

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References

- Tian Y, Rong L, Nian W, He Y. Review article: gastrointestinal features in COVID-19 and the possibility of faecal transmission. Aliment Pharmacol Ther. 2020; 51(9): 843-851. doi: https://doi.org/10.1111/apt.15731.

- Mönkemüller K, Fry L, Rickes S. COVID-19, coronavirus, SARS-CoV-2 and the small bowel. Rev Esp Enferm Dig. 2020 May;112(5):383-388. doi: https://doi.org/10.17235/reed.2020.7137/2020.

- Aminian A, Safari S, Razeghian-Jahromi A, Ghorbani M, Delaney CP. COVID-19 Outbreak and Surgical Practice: Unexpected Fatality in Perioperative Period. Ann Surg. 2020; 272(1): e27-e29. doi: https://doi.org/10.1097/SLA.0000000000003925.

- Aziz H, Filkins A, Kwon YK. Review of COVID-19 Outcomes in Surgical Patients. Am Surg. 2020; 86(7): 741-745. doi: https://doi.org/10.1177/0003134820934395.

- Lui K, Wilson MP, Low G. Abdominal imaging findings in patients with SARS-CoV-2 infection: a scoping review. Abdom Radiol (NY). 2020: 1–7. doi: https://doi.org/10.1007/s00261-020-02739-5.

- Vikse J, Henry BM. Tocilizumab in COVID-19: Beware the risk of intestinal perforation. Int J Antimicrob Agents. 2020; 56(1): 106009. doi: https://doi.org/10.1016/j.ijantimicag.2020.106009.

- Bao L, Deng W, Huang B, Gao H, Liu J, Ren L et al. The pathogenicity of SARS-CoV-2 in hACE2 transgenic mice. Nature. 2020; 583(7818): 830-833. doi: https://doi.org/10.1038/s41586-020-2312-y.

- Ikeda K, Nakajima S, Tanji K, Hirai T, Uomori K, Morimoto S et al. Intestinal perforation due to hemorrhagic Cytomegalovirus enteritis in a patient with severe uncontrolled lupus nephritis: a case and review of the literature. Rheumatol Int. 2017; 37(8): 1395-1399. doi: https://doi.org/10.1007/s00296-017-3693-6.

Published

2021-08-31

How to Cite

1.
Mora Delgado J, Lojo Cruz C, Escalera Pérez R, Narciso Repilado G. Acute abdomen in a patient with COVID-19. Rev Esp Casos Clin Med Intern [Internet]. 2021 Aug. 31 [cited 2024 Dec. 26];6(2):8-11. Available from: https://www.reccmi.com/RECCMI/article/view/620