Abstract
We report the case of a 39-year-old patient with a history of chronic gastritis, functional colopathy and appendectomy, referred by another public institution for severe abdominal pain. He had been admitted 6 days previously for nausea, vomiting, diarrhea, fever, asthenia since the onset of dyspnea with 89% desaturation in ambient air and a dry cough. A diagnosis of gastroenteritis was made and treated without success. The appearance of abdominal distension and bloating motivated his transfer to the CTPI where the rRT-PCR was carried out positive and an X-ray of the abdomen without preparation which had demonstrated a significant aerocoly with agglutination of handle. Surgical management under general anesthesia found a clean cavity after coeliotomy, multiple intestino-intestinal, intestino-parietal and omentum-parietal adhesions. The gesture consisted of an adhesiolysis, omentectomy. The postoperative follow-up was favorable with resumption of transit on D5 postoperative. Put under the COVID-19 treatment protocol, the rRT-PCR was negative on D13, output on D14 and removal of the D19 files without postoperative complications.
Highlights
We report the case of a 39-year-old patient with a history of chronic gastritis, functional colopathy and appendectomy, referred by another public institution for severe abdominal pain
The appearance of abdominal distension and bloating motivated his transfer to the center of the Donka National Hospital (CTPI) where the reverse transcription polymerase chain reaction (rRT-PCR) was carried out positive and an X-ray of the abdomen without preparation which had demonstrated a significant aerocoly with agglutination of handle
SARS-CoV-2 is responsible for a polymorphic digestive symptomatology that may precede the onset of respiratory symptoms
Summary
Severe COVID-19 can lead to multi-organ failure and may be associated with high mortality. Severity of infection, and comorbidity are important predictors of poor outcomes from COVID-19 [1] [2]. Coronaviruses are a common source of upper respiratory tract, gastrointestinal and central nervous system infections in humans and other mammals [3]. The first patient reported with 2019 coronavirus disease (COVID-19) in the United States reported gastrointestinal (GI) symptoms of loose stools and abdominal discomfort. The patient’s stool and respiratory tract samples were tested positive for SARS-CoV-2 by real-time reverse transcription polymerase chain reaction (RT-PCR) [4]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
