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Novel Coronavirus Infection in an Infant with Intussusception
Juan Felipe Osorno1,2, Manuel Giraldo1,2, Andrés Felipe Marín1,2
1Hospital Universitario del Valle-Evaristo García, Cali, Colombia.
Global Pediatric Health
|May 21, 2021
Summary
Intussusception, a common cause of intestinal obstruction in infants, can be associated with COVID-19. This case highlights the potential link between SARS-CoV-2 infection and intussusception in children, emphasizing gastrointestinal symptoms as key indicators.
Area of Science:
- Pediatric Surgery
- Infectious Diseases
- Gastroenterology
Background:
- Intussusception is the primary cause of intestinal obstruction in children under four.
- Viral infections are common triggers, with SARS-CoV-2 being a suspected cause.
- Only five cases of co-occurring intussusception and COVID-19 have been documented globally.
Observation:
- An 8-month-old infant presented with fever, bloody diarrhea, abdominal pain, and signs of peritonitis.
- Ultrasound confirmed intussusception, leading to surgical intervention.
- Intraoperative findings revealed transverse colon intussusception, peritonitis, and intestinal ischemia.
Findings:
- The patient underwent intestinal resection with ileostomy and mucous fistula.
- SARS-CoV-2 infection was confirmed via RT-PCR.
- Postoperative recovery included pediatric intensive care, enteral feeding, and respiratory support.
Implications:
- Gastrointestinal symptoms in children can be primary manifestations of COVID-19.
- COVID-19 may present with or causally relate to conditions like intussusception.
- Early recognition and management are crucial for pediatric patients with combined COVID-19 and intussusception.
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