Spontaneous intestinal perforation in critical COVID: A case report

Authors

  • Pusit Fuengfoo Department of Surgery, Phramongkutklao Hospital, Bangkok, Thailand, 10400
  • Amorn Jongstapongpan Department of Medicine, Phyathai 2 Hospital, Bangkok, Thailand, 10400
  • Poonnapong Hansiriphan Department of Medicine, Phyathai 2 Hospital, Bangkok, Thailand, 10400
  • Nattachai Srisawat Department of Internal Medicine, King Chulalongkorn Memorial Hospital, Bangkok, Thailand, 10330
  • Pitaks Detporntewan Department of Internal Medicine, King Chulalongkorn Memorial Hospital, Bangkok, Thailand, 10330
  • Ratchamon Pinyoteppratarn Department of Surgery, Rajavithi Hospital, Bangkok, Thailand, 10400
  • Panu Boontoterm Department of Surgery, Phramongkutklao Hospital, Bangkok, Thailand, 10400
  • Apirak Palwatwichai Department of Medicine, Phyathai 2 Hospital, Bangkok, Thailand, 10400
  • Nichaphat Phancharoenkit Department of Surgery, Phramongkutklao Hospital, Bangkok, Thailand, 10400

DOI:

https://doi.org/10.54205/ccc.v30.256874

Keywords:

COVID-19 peritonitis, Spontaneous small bowel perforation, Acute abdomen, Left atrial thrombosis

Abstract

Spontaneous intestinal perforation is a rare extrapulmonary manifestations of critical COVID-19 case. The pathogenesis of viral etiology is still unclear and association to some essential therapeutic treatment such as steroid or interleukin-9 antagonist is also inconclusive. Surgery is not mandatory If source control and sepsis can be accomplished with available interventions reported in current literatures. This uncommon complication develops either at time of presentation or after hospital admission, both upper and lower gastrointestinal tract1 We reported an ARDS patient experienced cardiac thrombus without valvular defect or arrhythmia who   was diagnosed of spontaneous intestinal perforation from acute necrotizing ileitis necessitated damage control surgery.

References

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Published

2022-07-17

How to Cite

1.
Fuengfoo P, Jongstapongpan A, Hansiriphan P, Srisawat N, Detporntewan P, Pinyoteppratarn R, Boontoterm P, Palwatwichai A, Phancharoenkit N. Spontaneous intestinal perforation in critical COVID: A case report . Clin Crit Care [Internet]. 2022 Jul. 17 [cited 2024 Mar. 29];30:2022:e0012. Available from: https://he02.tci-thaijo.org/index.php/ccc/article/view/256874

Issue

Section

Case Report