Your browser doesn't support javascript.
Ampullitis Superimposed Obstructive Jaundice in a Patient With COVID-19.
Cao, Can; Lakshminarayanan, Renuka; McCracken, John; Lai, Jinping.
  • Cao C; The Warren Alpert Medical School, Brown University, Providence, RI, USA.
  • Lakshminarayanan R; Department of Pathology and Laboratory Medicine, Kaiser Permanente Sacramento Medical Center, Sacramento, CA, USA.
  • McCracken J; Division of Gastroenterology, Kaiser Permanente Sacramento Medical Center, Sacramento, CA, USA.
  • Lai J; Department of Pathology and Laboratory Medicine, Kaiser Permanente Sacramento Medical Center, Sacramento, CA, USA.
Gastroenterology Res ; 14(1): 41-44, 2021 Feb.
Article in English | MEDLINE | ID: covidwho-1143871
ABSTRACT
While coronavirus disease 2019 (COVID-19) is well known to cause significant lower respiratory symptoms, recent literature has documented numerous cases of multi-systemic involvement that can present with atypical symptoms. We report a case of an 83-year-old man, recovering from abdominal aortic aneurysm repair complicated by colonic injury requiring colostomy rendering him dependent on gastrostomy tube feedings for 3 years, who was transferred from a nursing care facility to the emergency department with altered mental status, fever and jaundice. Abdominal imaging and biopsy studies eventually identified duodenitis and ampullitis complicated by a suspected Klatskin tumor leading to biliary obstruction, sepsis and hepatoencephalopathy. Polymerase chain reaction (PCR) for COVID-19 was positive. Despite the severity of the initial presentation, the patient had no respiratory symptoms or abnormal chest X-ray findings on admission and developed hypoxia late into the disease course. Thus, this case is a report of an abnormal initial COVID-19 presentation with gastrointestinal and hepatobiliary involvement leading to hepatoencephalopathy but no lung findings, highlighting the importance of investigating extrapulmonary processes in COVID-19-positive patients regardless of pulmonary symptoms.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Prognostic study Topics: Long Covid Language: English Journal: Gastroenterology Res Year: 2021 Document Type: Article Affiliation country: Gr1353

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Prognostic study Topics: Long Covid Language: English Journal: Gastroenterology Res Year: 2021 Document Type: Article Affiliation country: Gr1353