COVID-19-Related Intestinal Ischemia in A 7-Year Old Boy.

Pub Date : 2022-08-16 eCollection Date: 2022-01-01 DOI:10.1055/s-0042-1755721
Balázs Fadgyas, Gábor István Garai, János Schnur, Viktória Irén Kiss, Viktória Vass, Enikő Mátyus, György Balázs, Tamas Cserni
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引用次数: 2

Abstract

Severe abdominal pain and vomiting are common symptoms in children with pediatric multisystem inflammatory syndrome (PIMS). Mesenteric lymphadenitis and aseptic peritonitis are predominantly reported in cases where acute surgical abdomen was suspected and laparotomy was performed at the early stage of the pandemic. These reports generally discouraged surgeons to perform exploration in COVID-19-related cases and medical management was prioritized. Only a few COVID-19-specific surgical cases with intestinal ischemia were published. Here, we report another case of COVID-19-related intestinal ischemia complicated with Meckel's diverticulitis in a non-immunocompromised child who clearly required surgical intervention. In our case, the combination of COVID-19-related vasculitis and low blood pressure episodes may have contributed to this severe outcome.

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一名7岁男孩与covid -19相关的肠道缺血
严重腹痛和呕吐是小儿多系统炎症综合征(PIMS)患儿的常见症状。肠系膜淋巴结炎和无菌性腹膜炎在大流行早期怀疑急性外科腹部并进行剖腹手术的病例中主要报告。这些报告普遍不鼓励外科医生在与covid -19相关的病例中进行探查,医疗管理被优先考虑。仅发表了少数针对新冠肺炎的肠道缺血手术病例。在这里,我们报告了另一例与covid -19相关的肠道缺血合并梅克尔憩室炎的病例,该病例发生在一名非免疫功能低下的儿童中,明确需要手术干预。在我们的病例中,与covid -19相关的血管炎和低血压发作的结合可能导致了这一严重后果。
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