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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
PubMed

Insights

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.

Keywords:
pediatric surgeryspecial topics

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