A Late Presentation of COVID-19 Induced Bowel Ischemia.

CRSLS : MIS case reports from SLS Pub Date : 2022-10-01 DOI:10.4293/CRSLS.2022.00057

Hani Michael Annabi, Darrel Dodson, Bruce Applebaum, Benjamin Clapp

{"title":"A Late Presentation of COVID-19 Induced Bowel Ischemia.","authors":"Hani Michael Annabi, Darrel Dodson, Bruce Applebaum, Benjamin Clapp","doi":"10.4293/CRSLS.2022.00057","DOIUrl":null,"url":null,"abstract":"Introduction: Infection with COVID-19 may lead to extrapulmonary pathologies secondary to the systemic inflammatory effects of the virus.Case description: This case report discusses a 55-year-old female patient who presented with small bowel obstruction (SBO) several months after resolution of a COVID-19 infection. The patient was surgically treated with a small bowel resection, and eventually made a full recovery.Discussion: The pathophysiology of COVID-19-induced SBO can be explained by the prolonged inflammation and coagulation activation in the bowel's vasculature system. Under these circumstances, microthrombosis occurs in the bowel's microvasculature; the affected intestinal tissue becomes ischemic and infarcted. The damaged bowel is eventually replaced with fibrotic scar tissue, thus promoting bowel stricture and subsequent obstruction.Conclusion: COVID-19 can be responsible for both acute and chronic embolic and thrombotic events in the mesenteric vasculature, which acts as a risk factor in the manifestation of SBO.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"9 4","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d5/4c/e2022.00057.PMC9682609.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"CRSLS : MIS case reports from SLS","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4293/CRSLS.2022.00057","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction: Infection with COVID-19 may lead to extrapulmonary pathologies secondary to the systemic inflammatory effects of the virus.

Case description: This case report discusses a 55-year-old female patient who presented with small bowel obstruction (SBO) several months after resolution of a COVID-19 infection. The patient was surgically treated with a small bowel resection, and eventually made a full recovery.

Discussion: The pathophysiology of COVID-19-induced SBO can be explained by the prolonged inflammation and coagulation activation in the bowel's vasculature system. Under these circumstances, microthrombosis occurs in the bowel's microvasculature; the affected intestinal tissue becomes ischemic and infarcted. The damaged bowel is eventually replaced with fibrotic scar tissue, thus promoting bowel stricture and subsequent obstruction.

Conclusion: COVID-19 can be responsible for both acute and chronic embolic and thrombotic events in the mesenteric vasculature, which acts as a risk factor in the manifestation of SBO.

Abstract Image

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

COVID-19诱导的肠缺血的晚期表现。

COVID-19感染可能导致继发于该病毒的全身炎症作用的肺外病变。病例描述:本病例报告讨论了一名55岁女性患者，在COVID-19感染消退几个月后出现小肠梗阻(SBO)。病人接受了手术治疗，切除了小肠，最终完全康复。讨论:新型冠状病毒引起的SBO的病理生理可以通过肠道血管系统炎症和凝血激活的延长来解释。在这种情况下，微血栓形成发生在肠道微血管;受影响的肠组织发生缺血和梗死。受损的肠最终被纤维化瘢痕组织取代，从而促进肠狭窄和随后的梗阻。结论:COVID-19可导致肠系膜血管急性和慢性栓塞和血栓形成事件，这是SBO表现的危险因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

CRSLS : MIS case reports from SLS

自引率

0.00%

发文量

期刊最新文献

Robotic-Assisted Laparoscopic Epiphrenic Esophageal Diverticulectomy with Myotomy. Spontaneous Autoamputation of Adnexa. Creation of a Neovagina with Single Staged Uterine Anastomosis. Boerhaave's Syndrome Presenting in the Setting of Third-Degree Heart Block. Trans Enteric Rendezvous ERCP in a Patient with Loop Duodenal Switch.