Ileocolic intussusception in pediatric SARS-CoV-2 patients: experience at a tertiary pediatric center.
Pediatr Surg Int
; 38(3): 437-443, 2022 Mar.
Article
in English
| MEDLINE | ID: covidwho-1616123
ABSTRACT
PURPOSE:
COVID-19 disease can manifest with intussusception in pediatric patients, but prevalence of abnormalities on ultrasounds performed for intussusception is uncertain. We aim to report our experience in children with COVID-19 presenting with suspected intussusception imaged with ultrasound.METHODS:
Children under 18 years who had an ultrasound for possible intussusception underwent retrospective analysis and were tested for COVID-19 between April 1 and December 14, 2020. Patients' demographic, clinical, radiological and surgical characteristics were reviewed.RESULTS:
Twenty-four COVID-19-positive patients were identified; 19 boys with mean age 3 years (range 3 months-18 years). Ultrasound was abnormal in 11 patients (11/24, 46%). Sonographic features of enterocolitis were documented in seven children (7/24, 29%). Three boys (3/24, 13%) were found to have ileocolic intussusception on ultrasound and underwent air enema with failed reduction (3/3, 100%), precipitating surgical reductions, all with favorable outcomes. One patient (1/24, 4%) was found to have a long segment of persistent small bowel-small bowel intussusception which was surgically repaired.CONCLUSION:
Given the known association between failed reduction at air enema and delayed presentation, heightened awareness for intussusception in the setting of COVID-19 should be maintained, though more often, the etiology was attributed to other GI manifestations of COVID-19.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
COVID-19
/
Ileal Diseases
/
Intussusception
Type of study:
Etiology study
/
Observational study
/
Prognostic study
Limits:
Adolescent
/
Child
/
Humans
/
Infant
/
Male
Language:
English
Journal:
Pediatr Surg Int
Journal subject:
Pediatrics
Year:
2022
Document Type:
Article
Affiliation country:
S00383-022-05061-x
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