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Colonic perforation in patients with COVID-19 pneumonia – case reports


Authors: M. Filová;  Z. Adamová
Authors‘ workplace: Chirurgické oddělení, Vsetínská nemocnice, a. s.
Published in: Rozhl. Chir., 2021, roč. 100, č. 7, s. 353-356.
Category: Case Report
doi: https://doi.org/10.33699/PIS.2021.100.7.

Overview

Introduction: Gastrointestinal complications in critically ill patients during the COVID-19 pandemic pose a diagnostic and treatment dilemma.

Case report: We present two cases of SARS-CoV-2 positive patients treated in our department for colon perforation. One patient was operated for a diastasic right colon perforation due to acute over distension of the bowel. The perforation in the second case was associated with chronic diverticulitis.

Conclusion: These cases highlight the fact that besides typical respiratory symptoms and signs of COVID-19, digestive symptoms also occur. These can caused by intestinal perforation, be it directly or due to changing homeostasis of the internal environment.

Keywords:

COVID-19 – spontaneous colon perforation – stercoral peritonitis


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