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Pneumatosis Intestinalis Due to COVID-19 Infection in Kidney Transplant Recipient: A Case Report
D Łaski1, K Biernat1, Ł Kaska1
1General, Endocrine and Transplant Surgery Department, Medical University Gdańsk, Gdańsk, Poland.
Transplantation Proceedings
|March 8, 2021
Summary
Pneumatosis intestinalis (PI) is a rare condition linked to COVID-19, particularly in organ transplant recipients on steroids. Laparotomy with bowel resection is a safe treatment option for severe cases.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Transplant Surgery
Background:
- Pneumatosis intestinalis (PI) is a rare condition often seen in solid organ transplant recipients using steroid therapy.
- Coronavirus disease 2019 (COVID-19) utilizes angiotensin-converting enzyme 2 receptors in the gastrointestinal tract.
- Steroid use in COVID-19 patients may prolong viral presence in the GI tract, potentially increasing PI risk.
Observation:
- COVID-19 patients, especially those on steroids, may be at increased risk for developing PI.
- Pneumatosis intestinalis presents a spectrum from asymptomatic to life-threatening conditions.
- There is a lack of established diagnostic and treatment algorithms for PI.
Findings:
- A severe case of COVID-19-induced PI was observed.
- Surgical intervention, specifically laparotomy with bowel resection, was considered for this severe case.
Implications:
- Laparotomy with bowel resection can be a feasible and safe treatment for severe COVID-19-induced PI.
- Highlights the need for further research into PI management in high-risk populations.
- Emphasizes the gastrointestinal implications of COVID-19 in immunocompromised patients.
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