Реферат
Acute epiploic appendagitis is an uncommon cause of abdominal pain resulting from appendageal ischemia caused by torsion or thrombosis of the draining vein. It is frequently misdiagnosed as acute appendicitis or diverticulitis. The coronavirus disease 2019 (COVID-19) pandemic has changed how this rare disease is diagnosed. There was a report of a young men diagnosed with COVID-19 and epiploic appendagitis as a rare cause of abdominal pain. In addition, a 50-year-old men was diagnosed with epiploic appendagitis during the treatment of COVID-19. This paper reports the case of a 53-year-old men who presented with right lower quadrant abdominal pain after COVID-19 and was diagnosed with acute epiploic appendagitis by computed tomography image findings. The thrombotic condition of COVID-19 may contribute to acute appendagitis, but more studies are needed to confirm this hypothesis.
Тема - темы
Appendicitis , COVID-19 , Colitis, Ischemic , Male , Humans , Middle Aged , COVID-19/complications , COVID-19/diagnosis , Abdominal Pain/etiology , Abdominal Pain/diagnosis , Colitis, Ischemic/diagnosis , Appendicitis/diagnosis , Diagnosis, DifferentialРеферат
Millions of patients seek medical attention for diarrhea, vomiting, nausea, and abdominal pain. In the current environment, it is important to recognize that these symptoms may be the only manifestation or may precede more serious systemic complications of COVID-19. Herein, we describe the first case of ischemic colitis (IC) in a young adult who presented with diarrhea and highlight the laboratory pitfalls for patients with COVID-19 presenting with gastrointestinal (GI) symptoms.
Тема - темы
COVID-19/virology , Colitis, Ischemic/diagnosis , Down Syndrome/physiopathology , Gastrointestinal Diseases/diagnosis , SARS-CoV-2/pathogenicity , Adolescent , COVID-19/diagnosis , Colitis, Ischemic/complications , Colitis, Ischemic/physiopathology , Diarrhea/complications , Diarrhea/virology , Down Syndrome/diagnosis , Down Syndrome/virology , Gastrointestinal Diseases/complications , Gastrointestinal Diseases/virology , Humans , MaleРеферат
COVID-19 is associated with severe coagulopathy. We present three cases of colonic ischemia that can be attributed to the hypercoagulable state related with SARS-CoV2 and disseminated intravascular coagulation. Three males aged 76, 68 and 56 with respiratory distress presented episodes of rectal bleeding, abdominal distension and signs of peritoneal irritation. Endoscopy (case 1) and computed tomography angiography revealed colonic ischemia. One patient (case 2) in which a computed tomography (CT) scan showed perforation of the gangrenous cecum underwent surgery. D-dimer levels were markedly increased (2,170, 2,100 and 7,360 ng/ml) in all three patients. All three patients died shortly after diagnosis.
Тема - темы
Betacoronavirus , Colitis, Ischemic/virology , Coronavirus Infections/diagnosis , Pneumonia, Viral/diagnosis , Aged , COVID-19 , Colitis, Ischemic/diagnosis , Coronavirus Infections/complications , Fatal Outcome , Humans , Male , Middle Aged , Pandemics , Pneumonia, Viral/complications , SARS-CoV-2 , Severity of Illness IndexРеферат
COVID-19 has spread worldwide, with more than 2.5 million cases and over 80,000 deaths reported by the end of April 2020. In addition to pulmonary symptoms, gastrointestinal symptoms have been increasingly recognized as part of the disease spectrum. COVID-19-associated coagulopathy has recently emerged as a major component of the disease, leading to high morbidity and mortality. Ischemic colitis has been reported to be associated with a hypercoagulable state, However few cases have been reported of COVID-19 associated with ischemic colitis. We would like to report a case of a 53 year old man with medical history of type 2 diabetes, and hypercholesterolemia, with ishchemic colitis as first manifestation of infection of COVID 19.