Asil Rouzbeh Shadidi, Mahmoodi Setareh, Zamani Amir, Hakakzadeh Azadeh, Jamali Elena
Department of General Surgery, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of General Surgery, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Int J Surg Case Rep. 2021 Nov;88:106473. doi: 10.1016/j.ijscr.2021.106473. Epub 2021 Oct 6.
Although this is often overlooked, the gastrointestinal (GI) involvement of COVID-19 has been introduced. Diarrhea, nausea, vomiting, and abdominal discomfort are among the most common GI symptoms reported. Diffuse Colitis following COVID-19 infection is a rare presentation.
A 52-year-old female presented with intensified abdominal pain following COVID-19 infection to the emergency department. She was diagnosed with peritonitis due to diffuse colitis and perforation of sigmoid colon. The patient was treated with total colectomy with an end ileostomy.
The purpose of this study was to increase awareness among clinicians about the existence of this rare cause of abdominal pain after COVID-19 infection, diffuse colitis. Although uncommon, these presentations can potentially lead to delay in diagnosis among unfamiliar clinicians with GI presentation of COVID-19.
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尽管这一点常常被忽视，但新型冠状病毒肺炎（COVID-19）的胃肠道受累情况已被提及。腹泻、恶心、呕吐和腹部不适是报告的最常见胃肠道症状。COVID-19感染后弥漫性结肠炎是一种罕见表现。
一名52岁女性在感染COVID-19后因腹痛加剧到急诊科就诊。她被诊断为因弥漫性结肠炎和乙状结肠穿孔导致的腹膜炎。该患者接受了全结肠切除术并进行末端回肠造口术治疗。
本研究的目的是提高临床医生对COVID-19感染后这种罕见的腹痛原因——弥漫性结肠炎的认识。尽管不常见，但这些表现可能会导致不熟悉COVID-19胃肠道表现的临床医生延迟诊断。
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