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Intussusception in an infant as a manifestation of COVID-19
Zorays Moazzam1, Areej Salim2, Alina Ashraf1
1Medical College, Aga Khan University Hospital, Karachi, Pakistan.
Insights
Gastrointestinal issues from COVID-19 are uncommon. This report details the first infant survival with intussusception, a serious bowel obstruction, as a primary symptom of SARS-CoV-2 infection.
Area of Science:
- Pediatric Surgery
- Infectious Diseases
- Gastroenterology
Background:
- Gastrointestinal (GI) symptoms are rare in COVID-19, typically presenting as diarrhea or vomiting.
- Intussusception, a critical bowel obstruction, is common in infants, often following viral infections.
Observation:
- A rare case of intussusception in an infant with SARS-CoV-2 (the virus causing COVID-19) is presented.
- This infant experienced intussusception as the primary manifestation of SARS-CoV-2 infection.
Findings:
- This is the first documented case of survival in a SARS-CoV-2 positive infant with intussusception.
- The successful management highlights the possibility of severe GI presentations in pediatric COVID-19.
Implications:
- Surgeons should maintain a high index of suspicion for GI manifestations, including intussusception, in infants with SARS-CoV-2.
- This case expands the understanding of potential pediatric COVID-19 presentations and emphasizes the need for vigilance in diagnosing rare complications.
Abstract:
Gastrointestinal manifestations of COVID-19 are rare and have primarily been limited to diarrhea or vomiting. Intussusception is the most common cause of bowel obstruction in infants, with up to 30% of pediatric intussusception cases having a preceding viral illness. We present the rare case of intussusception in a SARS-CoV-2 positive infant. This is the first documented case of survival in a SARS-CoV-2 positive patient presenting with intussusception as the primary manifestation. As our knowledge of this disease evolves, surgeons need to remain suspicious for possible gastrointestinal manifestations of COVID-19.
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