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新型冠状病毒肺炎感染并发症之胃穿孔:一例报告

Gastric Perforation as a Complication of COVID-19 Infection: A Case Report.

作者信息

Almulhim Abdulrahman S, Alghazzi Alaa, Almohammed Saleh Ali A, Alsulaiman Ahmed H, Alnosair Lojain A, Alghareeb Fatimah Y

机构信息

General Surgery, King Faisal University, Al-Ahsa, SAU.

Surgery, King Fahad General Hospital, Hofuf, SAU.

出版信息

Cureus. 2022 Apr 1;14(4):e23725. doi: 10.7759/cureus.23725. eCollection 2022 Apr.

Abstract

Pulmonary symptoms are the primary manifestation of the COVID-19 disease, which originated in Wuhan in China in December 2019. However, it is now established to show widespread extrapulmonary manifestations, including gastrointestinal involvement. Abdominal pain, diarrhea, nausea, and vomiting are considered the most common gastrointestinal symptoms. Gastric perforation in association with COVID-19 is rarely reported in the literature. Here, we report a case of a 71-year-old male COVID-19-infected patient, medically free, who presented to the emergency department complaining of severe abdominal pain for a one-week duration. He was diagnosed with a case of perforated viscus and septic shock. The patient was shifted to the operating room for exploratory laparotomy. We aim in this report to highlight this fatal complication of COVID-19 infection in order to improve patients' outcomes.

摘要

肺部症状是2019年12月起源于中国武汉的新冠病毒疾病的主要表现。然而,现在已证实其有广泛的肺外表现,包括胃肠道受累。腹痛、腹泻、恶心和呕吐被认为是最常见的胃肠道症状。与新冠病毒相关的胃穿孔在文献中鲜有报道。在此,我们报告一例71岁男性新冠病毒感染患者,无其他基础疾病,因持续一周的严重腹痛到急诊科就诊。他被诊断为脏器穿孔并感染性休克。患者被转至手术室进行剖腹探查术。我们在本报告中的目的是强调新冠病毒感染的这一致命并发症,以改善患者的治疗结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83e6/9060744/e12fdfb88b4d/cureus-0014-00000023725-i01.jpg

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