Extensive pneumatosis intestinalis and portal venous gas mimicking mesenteric ischaemia in a patient with SARS-CoV-2.
Ann R Coll Surg Engl
; 102(6): e145-e147, 2020 Jul.
Article
in English
| MEDLINE | ID: covidwho-598906
ABSTRACT
We present the case of a critically ill 47-year-old man diagnosed with SARS-CoV-2 (COVID-19) who developed extensive pneumatosis intestinalis and portal venous gas in conjunction with an acute abdomen during the recovery phase of his acute lung injury. A non-surgical conservative approach was taken as the definitive surgical procedure; a complete small-bowel resection was deemed to be associated with an unacceptably high long-term morbidity. However, repeat computed tomography four days later showed complete resolution of the original computed tomography findings. Pneumatosis intestinalis from non-ischaemic origins has been described in association with norovirus and cytomegalovirus. To our knowledge, this is the first time that this has been described in COVID-19.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pneumatosis Cystoides Intestinalis
/
Pneumonia, Viral
/
Coronavirus Infections
/
Embolism, Air
/
Mesenteric Ischemia
/
Betacoronavirus
Type of study:
Case report
/
Diagnostic study
Topics:
Long Covid
Limits:
Humans
/
Male
/
Middle aged
Language:
English
Journal:
Ann R Coll Surg Engl
Year:
2020
Document Type:
Article
Affiliation country:
Rcsann.2020.0145
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