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Kenchappa Y, Hegde S, Kumar P, et al. Caught Off Guard with COVID-19 Bowel Gangrene: A Case Report. Indian J Crit Care Med. 2020;24(12):1269-1271doi: 10.5005/jp-journals-10071-23681.
Kenchappa, Y., Hegde, S., Kumar, P., Lalitha, A. V., & Bukelo, M. (2020). Caught Off Guard with COVID-19 Bowel Gangrene: A Case Report. Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 24(12), 1269-1271. https://doi.org/10.5005/jp-journals-10071-23681
Kenchappa, Yashaswini, et al. "Caught Off Guard with COVID-19 Bowel Gangrene: A Case Report." Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine vol. 24,12 (2020): 1269-1271. doi: https://doi.org/10.5005/jp-journals-10071-23681
Kenchappa Y, Hegde S, Kumar P, Lalitha AV, Bukelo M. Caught Off Guard with COVID-19 Bowel Gangrene: A Case Report. Indian J Crit Care Med. 2020 Dec;24(12):1269-1271. doi: 10.5005/jp-journals-10071-23681. PMID: 33446984; PMCID: PMC7775943.
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Indian J Crit Care Med. 2020 Dec;24(12):1269-1271. doi: 10.5005/jp-journals-10071-23681.

Caught Off Guard with COVID-19 Bowel Gangrene: A Case Report.

Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine

Yashaswini Kenchappa, Shalini Hegde, Prasanna Kumar, A V Lalitha, Maria Bukelo

Affiliations

  1. Department of Pediatric Intensive Care, St John's Medical College Hospital, Bengaluru, Karnataka, India.
  2. Department of Pediatric Surgery, St John's Medical College Hospital, Bengaluru, Karnataka, India.
  3. Department of Pathology, St John's Medical College Hospital, Bengaluru, Karnataka, India.

PMID: 33446984 PMCID: PMC7775943 DOI: 10.5005/jp-journals-10071-23681

Abstract

BACKGROUND: Isolated and predominant gastrointestinal presentation in coronavirus disease 2019 (COVID-19) is reported less often. With evolving evidence that gastrointestinal tract can be a portal of entry, multiplication, primary site of affliction and symptomatic manifestation, and source of infectivity through prolonged fecal shedding of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV2), it is essential that isolated gastrointestinal symptoms can also be a mode of presentation of this novel virus and illness.

CASE DESCRIPTION: The index case is a 10-year-old female child who presented with acute onset abdominal pain. Emergency surgery showed extensive gangrenous small bowel. The small bowel had herniated into a transmesenteric defect near the mid-ileum and was obstructed. Reverse-transcription polymerase chain reaction for SARS-CoV2 sent as preoperative work-up turned positive. The histopathology showed platelet aggregate thrombus in the venules with patent adjacent arterioles.

CONCLUSION: This is probably the first reported case of COVID-19-related bowel gangrene.

HOW TO CITE THIS ARTICLE: Kenchappa Y, Hegde S, Kumar P, Lalitha AV, Bukelo M. Caught Off Guard with COVID-19 Bowel Gangrene: A Case Report. Indian J Crit Care Med 2020;24(12):1269-1271.

Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.

Keywords: Bowel gangrene; COVID-19; Mesenteric hernia; Microvascular thrombosis

Conflict of interest statement

Source of support: Nil Conflict of interest: None

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