Osorno Juan Felipe, Giraldo Manuel, Marín Andrés Felipe, Figueroa Luis Mauricio
Hospital Universitario del Valle-Evaristo García, Cali, Colombia.
Universidad del Valle, Cali, Colombia.
Glob Pediatr Health. 2021 May 8;8:2333794X211012978. doi: 10.1177/2333794X211012978. eCollection 2021.
. Intussusception is the leading cause of intestinal obstruction in children under 4 years of age. Viral infections are the associated etiology in most cases, SARS-CoV-2 thereby being a plausible cause, although only 5 cases have been reported worldwide with both entities. We report a case of an infant with Intussusception and covid-19, its clinical approach, and surgical outcomes, throughout a retrospective review of electronic medical chart history with the authorization of the Ethics Committee on research of the "Hospital Universitario del Valle" and endorsement for publication. . It is an 8-month-old male patient with 72 hours of fever 100.4°F; bloody diarrheal stools; episodic abdominal pain; signs of peritoneal irritation and sensation of a mass in the right quadrants of the abdomen. Intussusception confirmed by ultrasound led to surgery, with SARS-CoV-2 infection as a possible differential diagnosis. Surgical findings reported intussusception of the transverse colon, peritonitis, and intestinal ischemia of distal ileum and right colon, for which intestinal resection with consequent ileostomy and a mucous fistula was performed. Positive SARS-CoV-2 RT-PCR test result was confirmed. Pediatric intensive care unit support took place at the initial postoperative phase, and eventual intestinal, with enteral feeding tolerance at the fourth day, and respiratory improvement came off within the first week of medical and surgical treatment. . Gastrointestinal symptoms are often the leading manifestations of COVID-19 in children, which can be isolated or as a common sign of a concomitant pathology such as intussusception, and they could also have a causal relationship.
肠套叠是4岁以下儿童肠梗阻的主要原因。在大多数情况下,病毒感染是相关病因,因此严重急性呼吸综合征冠状病毒2(SARS-CoV-2)是一个可能的病因,尽管全球仅报告了5例同时患有这两种疾病的病例。我们报告了一例患有肠套叠和新冠肺炎的婴儿病例,包括其临床处理方法和手术结果,这是通过在获得“巴耶大学医院”伦理研究委员会授权并获得发表认可后,对电子病历历史进行回顾性研究得出的。这是一名8个月大的男性患者,发热100.4°F达72小时;有血性腹泻大便;阵发性腹痛;有腹膜刺激征及腹部右象限可触及肿块感。超声确诊为肠套叠后进行了手术,将SARS-CoV-2感染作为可能的鉴别诊断。手术所见为横结肠套叠、腹膜炎以及回肠末端和右结肠肠缺血,为此进行了肠切除并随后行回肠造口术和黏液瘘。SARS-CoV-2逆转录聚合酶链反应(RT-PCR)检测结果呈阳性。术后初期在儿科重症监护病房进行支持治疗,最终肠道功能恢复,术后第四天能耐受肠内喂养,在内科和外科治疗的第一周内呼吸状况改善。胃肠道症状往往是儿童新冠肺炎的主要表现,这些症状可能是孤立出现的,也可能是诸如肠套叠等伴随病症的常见体征,它们之间也可能存在因果关系。