CC BY 4.0 · European J Pediatr Surg Rep. 2022; 10(01): e107-e110
DOI: 10.1055/s-0042-1755721
Case Report

COVID-19-Related Intestinal Ischemia in A 7-Year Old Boy

1   Department of Surgery and Traumatology, Heim Pál National Institute of Paediatrics, Budapest, Hungary
,
Gábor István Garai
1   Department of Surgery and Traumatology, Heim Pál National Institute of Paediatrics, Budapest, Hungary
,
János Schnur
2   Department of Anaesthesia & Intensive Care, Heim Pál National Institute of Paediatrics, Budapest, Hungary
,
Viktória Irén Kiss
2   Department of Anaesthesia & Intensive Care, Heim Pál National Institute of Paediatrics, Budapest, Hungary
,
Viktória Vass
3   Department of Pathology, Heim Pál National Institute of Paediatrics, Budapest, Hungary
,
Enikő Mátyus
4   Center of MRI and CT Diagnostics, Heim Pál National Institute of Paediatrics, Budapest, Hungary
,
György Balázs
4   Center of MRI and CT Diagnostics, Heim Pál National Institute of Paediatrics, Budapest, Hungary
,
Tamas Cserni
5   Department of Pediatric Surgery, Josa Andras Hospital Nyíregyháza, Teaching Hospital of Medical Health Science Centre University of Debrecen, Nyíregyháza, Hungary
› Author Affiliations

Abstract

Severe abdominal pain and vomiting are common symptoms in children with pediatric multisystem inflammatory syndrome (PIMS). Mesenteric lymphadenitis and aseptic peritonitis are predominantly reported in cases where acute surgical abdomen was suspected and laparotomy was performed at the early stage of the pandemic. These reports generally discouraged surgeons to perform exploration in COVID-19-related cases and medical management was prioritized. Only a few COVID-19-specific surgical cases with intestinal ischemia were published. Here, we report another case of COVID-19-related intestinal ischemia complicated with Meckel's diverticulitis in a non-immunocompromised child who clearly required surgical intervention. In our case, the combination of COVID-19-related vasculitis and low blood pressure episodes may have contributed to this severe outcome.



Publication History

Received: 06 March 2021

Accepted: 18 January 2022

Article published online:
16 August 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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