ABSTRACT
The COVID 19 pandemic has greatly affected the world population. SARS CoV2 infection in pediatric patients is related to the development of mild symptoms and in some cases gastrointestinal manifestations. We present the case of a patient with intussusception as a manifestation associated with SARS CoV2 infection, treated by ultrasound-guided hydrostatic reduction with successful results.
ABSTRACT
Background. Intussusception is the leading cause of intestinal obstruction in children under 4 years of age. Viral infections are the associated etiology in most cases, SARS-CoV-2 thereby being a plausible cause, although only 5 cases have been reported worldwide with both entities. We report a case of an infant with Intussusception and covid-19, its clinical approach, and surgical outcomes, throughout a retrospective review of electronic medical chart history with the authorization of the Ethics Committee on research of the "Hospital Universitario del Valle" and endorsement for publication. Case report. It is an 8-month-old male patient with 72 hours of fever 100.4°F; bloody diarrheal stools; episodic abdominal pain; signs of peritoneal irritation and sensation of a mass in the right quadrants of the abdomen. Intussusception confirmed by ultrasound led to surgery, with SARS-CoV-2 infection as a possible differential diagnosis. Surgical findings reported intussusception of the transverse colon, peritonitis, and intestinal ischemia of distal ileum and right colon, for which intestinal resection with consequent ileostomy and a mucous fistula was performed. Positive SARS-CoV-2 RT-PCR test result was confirmed. Pediatric intensive care unit support took place at the initial postoperative phase, and eventual intestinal, with enteral feeding tolerance at the fourth day, and respiratory improvement came off within the first week of medical and surgical treatment. Conclusion. Gastrointestinal symptoms are often the leading manifestations of COVID-19 in children, which can be isolated or as a common sign of a concomitant pathology such as intussusception, and they could also have a causal relationship.
ABSTRACT
The COVID-19 pandemic has generated a revolution of such magnitude that no aspect of human life will be the same from now on. The provision of health services and health education are not unrelated to this new normality imposed by the disease, and its consequences have been reflected in the need to use protocols and resources based on virtuality that most of us had not valued in their real dimension. Telehealth and telemedicine will be basic tools for professionals and teachers and it is our obligation to know them, apply them, and innovate to adapt to this reality. Resumo La pandemia de COVID-19 ha generado una revolución de tal magnitud que ningún aspecto de la vida del ser humano será igual a partir de ahora. La prestación de los servicios de salud y la educación en salud no son ajenas a esta nueva normalidad impuesta por la enfermedad, y sus consecuencias se han visto reflejadas en la necesidad de utilizar protocolos y recursos basados en la virtualidad que la mayoría no habíamos valorado en su real dimensión. La telesalud y la telemedicina serán herramientas básicas para profesionales y docentes y es nuestra obligación conocerlas, aplicarlas e innovar para adaptarnos a esta realidad.
ABSTRACT
The COVID-19 pandemic has generated a revolution of such magnitude that no aspect of human life will be the same from now on. The provision of health services and health education are not unrelated to this new normality imposed by the disease, and its consequences have been reflected in the need to use protocols and resources based on virtuality that most of us had not valued in their real dimension. Telehealth and telemedicine will be basic tools for professionals and teachers and it is our obligation to know them, apply them, and innovate to adapt to this reality. Resumo La pandemia de COVID-19 ha generado una revolución de tal magnitud que ningún aspecto de la vida del ser humano será igual a partir de ahora. La prestación de los servicios de salud y la educación en salud no son ajenas a esta nueva normalidad impuesta por la enfermedad, y sus consecuencias se han visto reflejadas en la necesidad de utilizar protocolos y recursos basados en la virtualidad que la mayoría no habíamos valorado en su real dimensión. La telesalud y la telemedicina serán herramientas básicas para profesionales y docentes y es nuestra obligación conocerlas, aplicarlas e innovar para adaptarnos a esta realidad.
ABSTRACT
La infección por COVID-19 ha generado un flujo de información derivada de la experiencia diaria de los profesionales, que ha permitido el rápido aprendizaje y conocimiento de las características clínicas, métodos de diagnóstico y tratamiento disponibles a la fecha. Esta nueva afección ha condicionado a las diferentes especialidades de la medicina a desarrollar prontamente guías y recomendaciones encaminadas a garantizar el cuidado de los pacientes afectados y la menor transmisión posible al personal de salud. La cirugía pediátrica no ha sido la excepción, por lo que se pretende recopilar en esta revisión algunos de los aspectos más relevantes en cuanto a la participación de nuestra especialidad en esta pandemiaThe infection by COVID-19 has generated a flow of information derived from the professionals'daily experience, which has allowed the rapid learning and knowledge of the clinical characteristics, diagnostic and treatment methods available to date. This new condition has conditioned the different medical specialties to promptly develop guidelines and recommendations aimed to guarantee the care of affected patients and the least possible transmission to health personnel. Pediatric surgery has not been the exception, so it is intended to compile in this review some of the most relevant aspects regarding the participation of our specialty in this pandemic
ABSTRACT
La infección por COVID-19 ha generado un flujo de información derivada de la experiencia diaria de los profesionales, que ha permitido el rápido aprendizaje y conocimiento de las características clínicas, métodos de diagnóstico y tratamiento disponibles a la fecha. Esta nueva afección ha condicionado a las diferentes especialidades de la medicina a desarrollar prontamente guías y recomendaciones encaminadas a garantizar el cuidado de los pacientes afectados y la menor transmisión posible al personal de salud. La cirugía pediátrica no ha sido la excepción, por lo que se pretende recopilar en esta revisión algunos de los aspectos más relevantes en cuanto a la participación de nuestra especialidad en esta pandemia The infection by COVID-19 has generated a flow of information derived from the professionals' daily experience, which has allowed the rapid learning and knowledge of the clinical characteristics, diagnostic and treatment methods available to date. This new condition has conditioned the different medical specialties to promptly develop guidelines and recommendations aimed to guarantee the care of affected patients and the least possible transmission to health personnel. Pediatric surgery has not been the exception, so it is intended to compile in this review some of the most relevant aspects regarding the participation of our specialty in this pandemic