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An Infant with COVID-19-Associated Intussusception
Gwyneth A Sullivan1, Nicholas J Skertich, Kody B Jones
1Department of Surgery, Division of Pediatric Surgery, Rush University Medical Center, Chicago, IL, USA.
The American Surgeon
|September 22, 2021
Summary
This study suggests a link between COVID-19 and intussusception in infants, a common cause of bowel obstruction. Infants with intussusception should be screened for COVID-19, as symptoms can recur in different locations.
Area of Science:
- Pediatrics
- Infectious Diseases
- Gastroenterology
Background:
- Intussusception is a leading cause of bowel obstruction in infants aged 4-10 months.
- It is often idiopathic or linked to lymphoid hyperplasia.
Purpose of the Study:
- To investigate a potential association between COVID-19 and intussusception in infants.
- To highlight the possibility of recurrent intussusception at different locations.
Main Methods:
- Case report of a 7-month-old male infant presenting with recurrent intussusception.
- Diagnostic imaging included ultrasound and computed tomography (CT) scan.
- COVID-19 screening was performed.
Main Results:
- Initial ileocolic intussusception resolved with contrast enema.
- Recurrent ileal-ileal intussusception occurred days later in a different location.
- The patient tested positive for COVID-19 during the recurrent episode.
Conclusions:
- COVID-19 may be an etiological factor in infant intussusception.
- Screening infants with intussusception for COVID-19 is recommended.
- Caregiver education is crucial for monitoring potential recurrence.
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