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Intestinal ischemia secondary to Covid-19

Lamia Sabrina Khesrani, karima Chana, Fatma Zohra Sadar, Abdelkader Dahdouh, Y. Ladjadj, Dania Bouguermouh

2020Journal of Pediatric Surgery Case Reports43 citationsDOIOpen Access PDF

Abstract

With the wide spread of the current SARS-Cov (Covid-19), It was found that about 2% of children was affected according to several studies, it should be mentioned that Those children are most often asymptomatic, but the current concern is about a vascular inflammatory disease which is similar to Kawasaki disease observed in children with Covid-19. we report a case of a 9-year-old girl, known to have idiopathic medullar aplasia, admitted to the emergency department for a pseudo appendicular syndrome with shock, neurological abnormalities and skin lesions. She underwent an emergency surgery; the peroperative exploration suggested an ischemic bowel lesion of the ileal loop and a healthy appendix. The link involving a Covid-19 infection was well established (RT-PCR +). We shared in common our clinical, radiological, biological and pathological data to draw attention towards the intestinal vasculitis that can be a part in the MIS-C related to Covid 19. To our best knowledge, this is the first case encountered of combination between Covid-19 with intestinal ischemic in children.

Topics & Concepts

MedicineAsymptomaticVasculitisCoronavirus disease 2019 (COVID-19)Radiological weaponMesenteric ischemiaDiseaseIschemiaPathologicalSeptic shockPediatricsSurgeryInternal medicineSepsisInfectious disease (medical specialty)Kawasaki Disease and Coronary ComplicationsAbdominal vascular conditions and treatmentsAppendicitis Diagnosis and Management
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