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Pediatric Intussusception Following COVID-19 Infection: A Rare Presentation

Cuong D Tran1, Christina Cheung1, Benjamin Archambeau1

  • 1Emergency Medicine, Arrowhead Regional Medical Center, Colton, USA.

Cureus
|April 27, 2022
PubMed

Insights

Pediatric intussusception, a rare complication of coronavirus disease 2019 (COVID-19), requires prompt diagnosis. Early recognition of gastrointestinal symptoms and ultrasound confirmation are crucial for timely intervention in children.

Area of Science:

  • Pediatric Gastroenterology
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • Intussusception is the leading cause of intestinal obstruction in children.
  • Previous associations exist between intussusception and viral upper respiratory infections.
  • The link between COVID-19 and pediatric intussusception is an emerging concern.

Observation:

  • A rare case of pediatric intussusception occurred in conjunction with COVID-19 infection.
  • Gastrointestinal manifestations were noted in the patient.
  • The exact mechanism linking COVID-19 to intussusception, especially without respiratory symptoms, is not yet understood.

Findings:

  • Rapid diagnosis of intussusception is vital to prevent severe complications like bowel necrosis and multiorgan failure.
  • Ultrasound confirmation is a key diagnostic tool.
  • Prompt care can avert delayed complications.

Implications:

  • This case highlights the need for heightened awareness of intussusception in pediatric patients with COVID-19.
  • Further research is needed to elucidate the pathophysiology of COVID-19-associated intussusception.
  • Clinicians should consider gastrointestinal symptoms in pediatric COVID-19 patients as potential indicators of intussusception.

Keywords:
computed tomographycovid-19emergency departmentpediatric intussusceptionultrasound

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