COVID-19-Related Intestinal Ischemia in A 7-Year Old Boy
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...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Georg Thieme Verlag KG
2022-01-01
|
| Series: | European Journal of Pediatric Surgery Reports |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1755721 |
| _version_ | 1798039918203633664 |
|---|---|
| author | Balázs Fadgyas Gábor István Garai János Schnur Viktória Irén Kiss Viktória Vass Enikő Mátyus György Balázs Tamas Cserni |
| author_facet | Balázs Fadgyas Gábor István Garai János Schnur Viktória Irén Kiss Viktória Vass Enikő Mátyus György Balázs Tamas Cserni |
| author_sort | Balázs Fadgyas |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-11T22:00:19Z |
| format | Article |
| id | doaj.art-528728ed12ef4f20b59ee9d1d5e8aff1 |
| institution | Directory Open Access Journal |
| issn | 2194-7619 2194-7627 |
| language | English |
| last_indexed | 2024-04-11T22:00:19Z |
| publishDate | 2022-01-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | European Journal of Pediatric Surgery Reports |
| spelling | doaj.art-528728ed12ef4f20b59ee9d1d5e8aff12022-12-22T04:00:57ZengGeorg Thieme Verlag KGEuropean Journal of Pediatric Surgery Reports2194-76192194-76272022-01-011001e107e11010.1055/s-0042-1755721COVID-19-Related Intestinal Ischemia in A 7-Year Old BoyBalázs Fadgyas0Gábor István Garai1János Schnur2Viktória Irén Kiss3Viktória Vass4Enikő Mátyus5György Balázs6Tamas Cserni7Department of Surgery and Traumatology, Heim Pál National Institute of Paediatrics, Budapest, HungaryDepartment of Surgery and Traumatology, Heim Pál National Institute of Paediatrics, Budapest, HungaryDepartment of Anaesthesia & Intensive Care, Heim Pál National Institute of Paediatrics, Budapest, HungaryDepartment of Anaesthesia & Intensive Care, Heim Pál National Institute of Paediatrics, Budapest, HungaryDepartment of Pathology, Heim Pál National Institute of Paediatrics, Budapest, HungaryCenter of MRI and CT Diagnostics, Heim Pál National Institute of Paediatrics, Budapest, HungaryCenter of MRI and CT Diagnostics, Heim Pál National Institute of Paediatrics, Budapest, HungaryDepartment of Pediatric Surgery, Josa Andras Hospital Nyíregyháza, Teaching Hospital of Medical Health Science Centre University of Debrecen, Nyíregyháza, HungarySevere 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.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1755721covid-19pediatric multisystem inflammatory syndromeintestinal ischemiahypotensionmeckel's diverticulitischild |
| spellingShingle | Balázs Fadgyas Gábor István Garai János Schnur Viktória Irén Kiss Viktória Vass Enikő Mátyus György Balázs Tamas Cserni COVID-19-Related Intestinal Ischemia in A 7-Year Old Boy European Journal of Pediatric Surgery Reports covid-19 pediatric multisystem inflammatory syndromeintestinal ischemia hypotension meckel's diverticulitis child |
| title | COVID-19-Related Intestinal Ischemia in A 7-Year Old Boy |
| title_full | COVID-19-Related Intestinal Ischemia in A 7-Year Old Boy |
| title_fullStr | COVID-19-Related Intestinal Ischemia in A 7-Year Old Boy |
| title_full_unstemmed | COVID-19-Related Intestinal Ischemia in A 7-Year Old Boy |
| title_short | COVID-19-Related Intestinal Ischemia in A 7-Year Old Boy |
| title_sort | covid 19 related intestinal ischemia in a 7 year old boy |
| topic | covid-19 pediatric multisystem inflammatory syndromeintestinal ischemia hypotension meckel's diverticulitis child |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1755721 |
| work_keys_str_mv | AT balazsfadgyas covid19relatedintestinalischemiaina7yearoldboy AT gaboristvangarai covid19relatedintestinalischemiaina7yearoldboy AT janosschnur covid19relatedintestinalischemiaina7yearoldboy AT viktoriairenkiss covid19relatedintestinalischemiaina7yearoldboy AT viktoriavass covid19relatedintestinalischemiaina7yearoldboy AT enikomatyus covid19relatedintestinalischemiaina7yearoldboy AT gyorgybalazs covid19relatedintestinalischemiaina7yearoldboy AT tamascserni covid19relatedintestinalischemiaina7yearoldboy |