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1例罕见的新冠病毒感染导致结肠狭窄病例报告及文献复习

A Rare Case of COVID-19 Infection Leading to Colonic Stricture: Case Report and Review of Literature.

作者信息

Yousaf Komal, Toffaha Ali, Yasin Ahmad L F, Al Naimi Noof, Ahmed Ayman, Abu Nada Mohamed, Yousif Mohammed, Parvaiz Amjad

机构信息

Department of Surgery, Hamad General Hospital, Doha, QAT.

Colorectal Surgery Unit, Department of Surgery, Hamad Medical Corporation, Doha, QAT.

出版信息

Cureus. 2022 Jul 19;14(7):e27043. doi: 10.7759/cureus.27043. eCollection 2022 Jul.

Abstract

Coronavirus disease 2019 (COVID-19) predominantly targets the respiratory tract; despite gastrointestinal (GI) symptoms that may present in many patients, colonic strictures in coronavirus disease (COVID-19) patients are extremely rare and, to our knowledge, have never been reported. We, herein, present a case of a 59-year-old lady who developed intestinal obstruction due to colonic strictures shortly after recovering from complicated COVID-19 pneumonia. Ultimately, she underwent laparoscopic subtotal colectomy with ileorectal anastomosis. After a long recovery period, she was discharged in good status. It has been more than two years since COVID-19 was declared as a pandemic by the World Health Organization. Infected individuals have highly variable clinical manifestations, yet the pathogenesis, diagnosis and ideal management of each of these complications is not well described in literature.

摘要

2019冠状病毒病(COVID-19)主要侵袭呼吸道;尽管许多患者可能出现胃肠道(GI)症状,但冠状病毒病(COVID-19)患者的结肠狭窄极为罕见,据我们所知,此前从未有过相关报道。在此,我们报告一例59岁女性病例,该患者在从复杂性COVID-19肺炎康复后不久,因结肠狭窄出现肠梗阻。最终,她接受了腹腔镜次全结肠切除术及回肠直肠吻合术。经过漫长的恢复期,她康复出院。自世界卫生组织宣布COVID-19为大流行病至今已有两年多时间。感染者的临床表现差异很大,但这些并发症的发病机制、诊断及理想的治疗方法在文献中均未得到充分描述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b07e/9389142/06f4831b5736/cureus-0014-00000027043-i01.jpg

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