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Bowel Perforation in Covid-19 Case Series
Annali Italiani Di Chirurgia
|November 19, 2021
Summary
Coronavirus disease 2019 (COVID-19) can lead to bowel perforation, a serious condition with high mortality. This study highlights the clinical characteristics and outcomes of five patients experiencing this complication.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Critical Care Medicine
Background:
- Coronavirus disease 2019 (COVID-19) is a global pandemic with diverse clinical manifestations.
- Bowel perforation is a rare but severe complication associated with severe infections.
Purpose of the Study:
- To investigate the clinical features and outcomes of patients with COVID-19 who experienced bowel perforation.
- To highlight the significance of bowel perforation as a complication in COVID-19 patients.
Main Methods:
- A case series design was employed, analyzing patients diagnosed with COVID-19 and bowel perforation.
- Patient data were collected from September 2020 to December 2020.
- Diagnosis of COVID-19 was confirmed by RT-PCR, and bowel perforation was identified via abdominal CT scans.
Main Results:
- Five patients with COVID-19 and bowel perforation were identified.
- All patients were on anticoagulation, yet perforation occurred.
- The cohort consisted of predominantly male patients (4/5) with an average age of 60, common comorbidities included hypertension, diabetes, and obesity.
Conclusions:
- Bowel perforation in COVID-19 patients is associated with significant morbidity and mortality.
- In this series, 40% of patients diagnosed with bowel perforation died.
- The average time from diagnosis of bowel perforation to death was 6 days.
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