ABSTRACT
The thymus gland is a lymphoid organ normally located in the superior anterior mediastinum. It can rarely present abnormally in other sites along the thymopharyngeal canal and it might cause difficulties in breathing and/or feeding. We present a case report of an ectopic cervical thymus of a 10-month-old male infant who was presented to the hospital with a swelling on the left side of his neck for nine months. Investigations raised suspicion about four differential diagnoses and a total surgical excision for histopathological confirmation was deemed mandatory. It is of great importance to consider ectopic cervical thymus in the differential diagnosis of pediatric neck masses to avoid unnecessary procedures and prevent possible complications.
ABSTRACT
Pulmonary symptoms are the primary manifestation of the COVID-19 disease, which originated in Wuhan in China in December 2019. However, it is now established to show widespread extrapulmonary manifestations, including gastrointestinal involvement. Abdominal pain, diarrhea, nausea, and vomiting are considered the most common gastrointestinal symptoms. Gastric perforation in association with COVID-19 is rarely reported in the literature. Here, we report a case of a 71-year-old male COVID-19-infected patient, medically free, who presented to the emergency department complaining of severe abdominal pain for a one-week duration. He was diagnosed with a case of perforated viscus and septic shock. The patient was shifted to the operating room for exploratory laparotomy. We aim in this report to highlight this fatal complication of COVID-19 infection in order to improve patients' outcomes.