Pyar, Khin Phyu and Shan, Min Aung and Hlaing, Soe Win and ., Diwon and Aung, Zarni Htet and Aung, Soe Min and Maung, Nyan Lin and Kyaw, Aung Phyoe (2022) COVID-19 and Gastrointestinal Manifestation: A Case Report on Colonic Perforation in 91-year- old man with Severe COVID-19 Infection. In: Issues and Developments in Medicine and Medical Research Vol. 7. B P International, pp. 165-174. ISBN 978-93-5547-498-8
Full text not available from this repository.Abstract
A-91-year-old man had severe Covid-19 infection as he had bilateral severe pneumonia with SaO2 85% on air. He was treated with antibiotics, oxygen, dexamethasone and convalescent plasma therapy. Following recovery from respiratory failure, on day 28 symptom onset, he had loose motion and abdominal distension without abdominal pain. Then, he suddenly developed septic shock and features of peritonism. CT abdomen revealed pneumoperitoneum. After resuscitation with fluids, inotropes and antibiotics, emergency laparotomy was done. An area of perforation at colon with mucosal hemorrhage was seen. Right hemicolectomy was done. Histology showed mucosal oedema, infiltration with inflammatory cells mainly polymorphs and lymphocytes, congested vessels with areas of hemorrhage in the mucosa. Post-operative period was critical; septic shock required two inotropes, blood transfusion and fluids. It was complicated by ARDS and multiorgan failure.
Item Type: | Book Section |
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Subjects: | Journal Eprints > Medical Science |
Depositing User: | Managing Editor |
Date Deposited: | 14 Oct 2023 04:26 |
Last Modified: | 14 Oct 2023 04:26 |
URI: | http://repository.journal4submission.com/id/eprint/2830 |