Journal of Pediatric Surgery Case Reports (Oct 2020)

Intestinal ischemia secondary to Covid-19

  • Lamia Sabrina Khesrani,
  • karima Chana,
  • Fatma Zohra Sadar,
  • Abdelkader Dahdouh,
  • Yasmina Ladjadj,
  • Dania Bouguermouh

DOI
https://doi.org/10.1016/j.epsc.2020.101604
Journal volume & issue
Vol. 61
p. 101604

Abstract

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With the wide spread of the current SARS-Cov (Covid-19), It was found that about 2% of children was affected according to several studies, it should be mentioned that Those children are most often asymptomatic, but the current concern is about a vascular inflammatory disease which is similar to Kawasaki disease observed in children with Covid-19.we report a case of a 9-year-old girl, known to have idiopathic medullar aplasia, admitted to the emergency department for a pseudo appendicular syndrome with shock, neurological abnormalities and skin lesions. She underwent an emergency surgery; the peroperative exploration suggested an ischemic bowel lesion of the ileal loop and a healthy appendix. The link involving a Covid-19 infection was well established (RT-PCR +).We shared in common our clinical, radiological, biological and pathological data to draw attention towards the intestinal vasculitis that can be a part in the MIS-C related to Covid 19. To our best knowledge, this is the first case encountered of combination between Covid-19 with intestinal ischemic in children.

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