COVID-19 Associated Spontaneous Bowel Perforation

Mohammed Alkatary; Hamda Al Zarooni; Salem Al Harthi

doi:doi:10.11648/j.js.20210902.16

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COVID-19 Associated Spontaneous Bowel Perforation

Mohammed Alkatary, Hamda Al Zarooni, Salem Al Harthi

Published in Journal of Surgery (Volume 9, Issue 2)

Received: 7 March 2021 Accepted: 19 March 2021 Published: 30 March 2021

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Abstract

The purpose of this article is to report on the newly recognized life threating gastrointestinal complications of Corona virus infection (COVID-19) in the form of bowel ischemia and ischemic bowel perforation. In a retrospective observational study at Sheikh Shakhbout Medical City (SSMC), Abu Dhabi, United Arab Emirates during the period between March and May 2020. All COVID-19 positive patients with free intra peritoneal air were included; total of five patients met our inclusion criteria during the study period, all patients were admitted to the intensive care unit for mechanical ventilation and management of severe COVID 19 related respiratory complications. COVID-19 status was based on a positive PCR nasopharyngeal swab supported by typical radiological findings on either chest X-ray (CXR) or CT Chest. Free air under the diaphragm was radiologically confirmed in all patients. Patients’ demographics and co-morbidities were reviewed. Four patients underwent an emergency surgical intervention confirming ischemic perforation of the right colon. The caecum was identified as the starting point of ischemia with variable distal extension into the ascending colon and the hepatic flexure. One patient unfortunately demised prior to surgery due to severe septic complications. These findings highlight the importance of paying attention to COVID 19 patients with sudden clinical deterioration and raise the extent of the gastrointestinal manifestation of COVID-19 infection beyond simple diarrhea and abdominal pain.

Published in	Journal of Surgery (Volume 9, Issue 2)
DOI	10.11648/j.js.20210902.16
Page(s)	74-77
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Colonic Perforation, COVID-19, Hemicolectomy

References

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[11]	Handaya AY, Andrew J, Hanif AS, Fauzi AR. Handaya AY, et al. Covid-19 mimicking symptoms in emergency gastrointestinal surgery cases during pandemic: A case series. Int J Surg Case Rep. 2020 Oct 24; 77: 22-27. doi: 10.1016/j.ijscr.2020.10.064. e Collection 2020.
[12]	Rojo M, Cano-Valderrama O, Picazo S, Saez C, Gómez L, Sánchez C, Sanz-Ortega G, Torres AJ. Intestinal perforation in patient with COVID-19 infection treated with tocilizumab and corticosteroids. Report of a clinical case. 2021 Feb; 99 (2): 156-157. doi: 10.1016/j.ciresp.2020.04.030. Epub 2020 Apr 29.
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APA Style

Mohammed Alkatary, Hamda Al Zarooni, Salem Al Harthi. (2021). COVID-19 Associated Spontaneous Bowel Perforation. Journal of Surgery, 9(2), 74-77. https://doi.org/10.11648/j.js.20210902.16

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ACS Style

Mohammed Alkatary; Hamda Al Zarooni; Salem Al Harthi. COVID-19 Associated Spontaneous Bowel Perforation. J. Surg. 2021, 9(2), 74-77. doi: 10.11648/j.js.20210902.16

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AMA Style

Mohammed Alkatary, Hamda Al Zarooni, Salem Al Harthi. COVID-19 Associated Spontaneous Bowel Perforation. J Surg. 2021;9(2):74-77. doi: 10.11648/j.js.20210902.16

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@article{10.11648/j.js.20210902.16,
  author = {Mohammed Alkatary and Hamda Al Zarooni and Salem Al Harthi},
  title = {COVID-19 Associated Spontaneous Bowel Perforation},
  journal = {Journal of Surgery},
  volume = {9},
  number = {2},
  pages = {74-77},
  doi = {10.11648/j.js.20210902.16},
  url = {https://doi.org/10.11648/j.js.20210902.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20210902.16},
  abstract = {The purpose of this article is to report on the newly recognized life threating gastrointestinal complications of Corona virus infection (COVID-19) in the form of bowel ischemia and ischemic bowel perforation. In a retrospective observational study at Sheikh Shakhbout Medical City (SSMC), Abu Dhabi, United Arab Emirates during the period between March and May 2020. All COVID-19 positive patients with free intra peritoneal air were included; total of five patients met our inclusion criteria during the study period, all patients were admitted to the intensive care unit for mechanical ventilation and management of severe COVID 19 related respiratory complications. COVID-19 status was based on a positive PCR nasopharyngeal swab supported by typical radiological findings on either chest X-ray (CXR) or CT Chest. Free air under the diaphragm was radiologically confirmed in all patients. Patients’ demographics and co-morbidities were reviewed. Four patients underwent an emergency surgical intervention confirming ischemic perforation of the right colon. The caecum was identified as the starting point of ischemia with variable distal extension into the ascending colon and the hepatic flexure. One patient unfortunately demised prior to surgery due to severe septic complications. These findings highlight the importance of paying attention to COVID 19 patients with sudden clinical deterioration and raise the extent of the gastrointestinal manifestation of COVID-19 infection beyond simple diarrhea and abdominal pain.},
 year = {2021}
}

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TY - JOUR
T1 - COVID-19 Associated Spontaneous Bowel Perforation
AU - Mohammed Alkatary
AU - Hamda Al Zarooni
AU - Salem Al Harthi
Y1 - 2021/03/30
PY - 2021
N1 - https://doi.org/10.11648/j.js.20210902.16
DO - 10.11648/j.js.20210902.16
T2 - Journal of Surgery
JF - Journal of Surgery
JO - Journal of Surgery
SP - 74
EP - 77
PB - Science Publishing Group
SN - 2330-0930
UR - https://doi.org/10.11648/j.js.20210902.16
AB - The purpose of this article is to report on the newly recognized life threating gastrointestinal complications of Corona virus infection (COVID-19) in the form of bowel ischemia and ischemic bowel perforation. In a retrospective observational study at Sheikh Shakhbout Medical City (SSMC), Abu Dhabi, United Arab Emirates during the period between March and May 2020. All COVID-19 positive patients with free intra peritoneal air were included; total of five patients met our inclusion criteria during the study period, all patients were admitted to the intensive care unit for mechanical ventilation and management of severe COVID 19 related respiratory complications. COVID-19 status was based on a positive PCR nasopharyngeal swab supported by typical radiological findings on either chest X-ray (CXR) or CT Chest. Free air under the diaphragm was radiologically confirmed in all patients. Patients’ demographics and co-morbidities were reviewed. Four patients underwent an emergency surgical intervention confirming ischemic perforation of the right colon. The caecum was identified as the starting point of ischemia with variable distal extension into the ascending colon and the hepatic flexure. One patient unfortunately demised prior to surgery due to severe septic complications. These findings highlight the importance of paying attention to COVID 19 patients with sudden clinical deterioration and raise the extent of the gastrointestinal manifestation of COVID-19 infection beyond simple diarrhea and abdominal pain.
VL - 9
IS - 2
ER -

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Author Information

Mohammed Alkatary

General Surgery Department, Sheikh Shakhbout Medical City (SSMC), Abu Dhabi, UAE
Hamda Al Zarooni

General Surgery Department, Sheikh Shakhbout Medical City (SSMC), Abu Dhabi, UAE
Salem Al Harthi

General Surgery Department, Sheikh Shakhbout Medical City (SSMC), Abu Dhabi, UAE

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Plain Text BibTeX RIS

APA Style

Mohammed Alkatary, Hamda Al Zarooni, Salem Al Harthi. (2021). COVID-19 Associated Spontaneous Bowel Perforation. Journal of Surgery, 9(2), 74-77. https://doi.org/10.11648/j.js.20210902.16

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ACS Style

Mohammed Alkatary; Hamda Al Zarooni; Salem Al Harthi. COVID-19 Associated Spontaneous Bowel Perforation. J. Surg. 2021, 9(2), 74-77. doi: 10.11648/j.js.20210902.16

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AMA Style

Mohammed Alkatary, Hamda Al Zarooni, Salem Al Harthi. COVID-19 Associated Spontaneous Bowel Perforation. J Surg. 2021;9(2):74-77. doi: 10.11648/j.js.20210902.16

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@article{10.11648/j.js.20210902.16,
  author = {Mohammed Alkatary and Hamda Al Zarooni and Salem Al Harthi},
  title = {COVID-19 Associated Spontaneous Bowel Perforation},
  journal = {Journal of Surgery},
  volume = {9},
  number = {2},
  pages = {74-77},
  doi = {10.11648/j.js.20210902.16},
  url = {https://doi.org/10.11648/j.js.20210902.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20210902.16},
  abstract = {The purpose of this article is to report on the newly recognized life threating gastrointestinal complications of Corona virus infection (COVID-19) in the form of bowel ischemia and ischemic bowel perforation. In a retrospective observational study at Sheikh Shakhbout Medical City (SSMC), Abu Dhabi, United Arab Emirates during the period between March and May 2020. All COVID-19 positive patients with free intra peritoneal air were included; total of five patients met our inclusion criteria during the study period, all patients were admitted to the intensive care unit for mechanical ventilation and management of severe COVID 19 related respiratory complications. COVID-19 status was based on a positive PCR nasopharyngeal swab supported by typical radiological findings on either chest X-ray (CXR) or CT Chest. Free air under the diaphragm was radiologically confirmed in all patients. Patients’ demographics and co-morbidities were reviewed. Four patients underwent an emergency surgical intervention confirming ischemic perforation of the right colon. The caecum was identified as the starting point of ischemia with variable distal extension into the ascending colon and the hepatic flexure. One patient unfortunately demised prior to surgery due to severe septic complications. These findings highlight the importance of paying attention to COVID 19 patients with sudden clinical deterioration and raise the extent of the gastrointestinal manifestation of COVID-19 infection beyond simple diarrhea and abdominal pain.},
 year = {2021}
}

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