COVID-19-Related Intussusception: A Case Series and Review of the Literature.
Surg Infect (Larchmt)
; 23(8): 712-716, 2022 Oct.
Article
in English
| MEDLINE | ID: covidwho-2001183
ABSTRACT
Background:
Ileocolic intussusception is a common gastrointestinal emergency that occurs in infancy. Many cases are caused by anatomic lead points, such as hypertrophied Peyer's patches. Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection, which causes coronavirus disease 2019 (COVID-19), commonly presents with respiratory symptoms, however, its relation to intussusception remains unknown.Methods:
Two cases are reported as well as a review of pertinent English-language literature on the topic.Results:
We present two cases of intussusception in COVID-19-positive patients, including the first known case of a lead point with tissue polymerase chain reaction (PCR) confirming COVID-19 positivity, and compare these findings to a review of the recent literature. Intussusception in COVID-19-positive patients is becoming more prevalent and more often requires operative treatment.Discussion:
We offer evidence that intussusception can be the presenting symptom in the absence of COVID-19-related respiratory symptoms. There also seems to be a trend toward the need for operative intervention compared with COVID-19-negative intussusception. The presence of SARS-CoV-2 can be confirmed via PCR in specific lead points (lymph nodes), directly causing the intussusception.Conclusions:
Providers should have a low threshold to suspect and diagnose intussusception as operative treatment is more readily used in COVID-19-positive pediatric patients with gastrointestinal symptoms.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
COVID-19
/
Intussusception
Type of study:
Diagnostic study
Topics:
Long Covid
Limits:
Child
/
Humans
Language:
English
Journal:
Surg Infect (Larchmt)
Journal subject:
Bacteriology
Year:
2022
Document Type:
Article
Affiliation country:
Sur.2022.139
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