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Adult Intussusception Secondary to COVID-19 Infection: A Case Report and Literature Review
Marianna Almpani1, Ana Maria Bensaci2
1Department of Internal Medicine Mass General Brigham, Salem Hospital, Salem, MA, USA.
The Brown Journal of Hospital Medicine
|March 6, 2025
Summary
Adult intussusception is rare, often linked to cancer. This case highlights a potential link between COVID-19 and intussusception in adults, suggesting it as an extra-respiratory symptom.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Internal Medicine
Background:
- Intussusception is a rare cause of bowel obstruction in adults, with malignancy being the primary etiology.
- Unlike pediatric cases where viral infections are common, adult intussusception is predominantly associated with underlying tumors.
Observation:
- A 37-year-old woman presented with symptoms of bowel obstruction, including right lower quadrant abdominal pain, nausea, and vomiting.
- These symptoms began three days after her diagnosis of coronavirus disease 2019 (COVID-19).
Findings:
- The patient was diagnosed with intussusception.
- No other specific cause for the intussusception was identified, raising suspicion for a COVID-19 association.
Implications:
- This case underscores the importance of considering COVID-19 as a potential trigger for intussusception in adults, even in the absence of respiratory symptoms.
- Recognizing this extra-respiratory manifestation can guide clinical awareness and potentially inform management strategies, possibly favoring less invasive approaches.
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