Rare case of COVID-19 presenting as acute abdomen and sepsis.
Acute abdomen
COVID-19
extracorporeal blood purification therapies
sepsis
thromboembolic disease
Journal
New microbes and new infections
ISSN: 2052-2975
Titre abrégé: New Microbes New Infect
Pays: England
ID NLM: 101624750
Informations de publication
Date de publication:
Nov 2020
Nov 2020
Historique:
received:
09
08
2020
revised:
23
10
2020
accepted:
11
11
2020
pubmed:
24
11
2020
medline:
24
11
2020
entrez:
23
11
2020
Statut:
ppublish
Résumé
Coronavirus disease 2019 (COVID-19) may present as acute abdomen, although the pathophysiology remains obscure. We report the case of a 45-year-old-man with severe COVID-19 pneumonia with associated pulmonary embolism who presented with acute abdomen. He underwent emergency laparotomy and resection of an ischaemic area of the jejunum. Postoperatively, he had septic shock, acute respiratory distress syndrome and acute kidney injury necessitating continuous renal replacement therapy. We administered antibiotics and therapeutic anticoagulation along with two sessions of haemoadsorption by CytoSorb filter, in conjunction with continuous renal replacement therapy. The patient survived. Bowel ischaemia due to thromboembolic disease should be promptly treated. Extracorporeal blood purification may be useful in managing sepsis in severe COVID-19.
Identifiants
pubmed: 33224507
doi: 10.1016/j.nmni.2020.100818
pii: S2052-2975(20)30170-0
pmc: PMC7670919
doi:
Types de publication
Journal Article
Langues
eng
Pagination
100818Informations de copyright
© 2020 The Author(s).
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