scholarly journals Acute surgical‐like abdomen as a gastrointestinal manifestation of COVID-19 infection: a case report in Colombia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Fernando Sierra-Arango ◽  
Cathalina Vergara-Cabra ◽  
Mariana Vásquez-Roldan ◽  
Erika D. Pérez-Riveros
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Gastrointestinal Symptoms ◽  
Public Health Problem ◽  
Young Female ◽  
Sudden Onset ◽  
First Case ◽  
Symptomatic Management ◽  
Radiological Pattern ◽  
Gastrointestinal Manifestation

Abstract Background The SARS-CoV-2 pandemic is a considerable public health problem, which has caused a burden on health systems in many countries. Despite the existence of multiple studies on the different digestive symptoms and their relationship with this disease, it is still vital to highlight the severity of the different symptoms, the need to diagnose it properly and quickly. Currently in Colombia there are no writings that highlight the above. Case presentation This article reports the case of a 37-year-old female patient, with no important history, who consulted for 10 h of a generalized intense abdominal pain, of sudden onset, associated with multiple stools of diarrheal consistency, and no respiratory symptoms and no epidemiological exposure. Physical examination with intense pain in the colic frame with tenderness. It was decided to rule out surgical pathology and a CT scan was performed finding no evidence of acute intra-abdominal pathology, but with a peripheral alveolar, and ground-glass opacities at lung bases, classic COVID-19 radiological pattern, confirmed by a positive RT-PCR for SARS-CoV-2, leading to consider that the gastrointestinal symptoms were secondary to this infection. Symptomatic management was given with subsequent improvement. Conclusions It is extremely important to present this first case report of a young female COVID-19 patient with an acute abdominal pain as the main clinical manifestation, that almost culminates in a surgical procedure; demonstrating the scope of gastrointestinal symptoms secondary to SARS-CoV-2 infection.

scholarly journals Fatal Methanol Ingestion in a Child: Case Report

2009 ◽  
Vol 52 (3) ◽  
pp. 125-127 ◽  
Author(s):  
Nursel Türkmen ◽  
Bülent Eren ◽  
Gürsel Cetin
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Case Report ◽  
Blood Level ◽  
Forensic Medicine ◽  
Gastrointestinal Symptoms ◽  
Autopsy Case ◽  
Accidental Ingestion ◽  
First Case ◽  
Toxicological Studies

The records of Forensic Medicine Council of Turkey Bursa Morgue Department reveal the first case of fatal methanol ingestion in a child. Household methanol exposures are mostly due to accidental ingestion of washing fluids. A 4 year-old girl was admitted to the emergency department with her parents with gastrointestinal symptoms; nausea, vomiting and abdominal pain. Toxicological studies revealed 79 mg/dl blood level of methanol. We presented infant autopsy case of methanol toxicity and discussed the case from medicolegal aspect.

scholarly journals Angiomyolipoma with caval extension and regional nodal involvement: Aggressive behaviour or just rare natural history? Case report and review of literature

2014 ◽  
Vol 8 (3-4) ◽  
pp. 276 ◽  
Author(s):  
Kamaljot Singh Kaler ◽  
Rebekah Rittberg ◽  
Darrel Edmond Drachenberg
Keyword(s):  
Renal Cell Carcinoma ◽  
Case Report ◽  
Natural History ◽  
Renal Cell ◽  
Young Female ◽  
Renal Angiomyolipoma ◽  
Review Of Literature ◽  
Nodal Involvement ◽  
Regional Lymph Nodes ◽  
First Case

Renal angiomyolipoma (AML) is predominantly a non-aggressive benign tumour. Cases of more aggressive AMLs are present in the literature. We present 2 cases of aggressive AML behaviour. The first case is an AML with vascular extension in a young female and the second case is of AML found in regional lymph nodes in a female with a left renal AML and renal cell carcinoma.

scholarly journals SARS–CoV-2 isolation from an appendix

2020 ◽  
Vol 2020 (8) ◽  
Author(s):  
Shahzaib Ahmad ◽  
Rahim Nadeem Ahmed ◽  
Poonam Jani ◽  
Mattee Ullah ◽  
Hossam Aboulgheit
Keyword(s):  
Polymerase Chain Reaction ◽  
Abdominal Pain ◽  
Respiratory Symptoms ◽  
Tissue Sample ◽  
Gastrointestinal Symptoms ◽  
Shortness Of Breath ◽  
Chain Reaction ◽  
Histological Features ◽  
First Case ◽  
Polymerase Chain

Abstract Efforts to recognize SARS–CoV-2 infection have focused on respiratory symptoms such as cough and shortness of breath. Although it is also well known that SARS–CoV-2 infection can cause gastrointestinal symptoms such as abdominal pain, nausea, vomiting and diarrhoea, there are emerging reports of SARS–CoV-2 infection causing surgical pathology. We present the first case report of SARS–CoV-2 infection directly causing acute appendicitis, first suspected due to highly atypical histological features and later confirmed as polymerase chain reaction positive appendicular tissue sample.

scholarly journals Lipoleiomyosarcoma an extremely unusual sarcoma of uterus: A case report

1970 ◽  
Vol 2 (1) ◽  
pp. 67-70 ◽  
Author(s):  
Abhimanyu Jha ◽  
Gita Sayami ◽  
Deepti Adhikari
Keyword(s):  
Smooth Muscle ◽  
Abdominal Pain ◽  
Case Report ◽  
Postmenopausal Woman ◽  
Unusual Case ◽  
Histopathological Examination ◽  
Abdominal Mass ◽  
Lower Abdominal Pain ◽  
First Case ◽  
Well Differentiated

Uterine lipoleiomyosarcoma is a heterologous sarcoma composed of variable proportions of malignant lipoblasts histologically corresponding to well differentiated liposarcoma and malignant smooth muscle cells corresponding to leiomyosarcoma. Finding of benign lipomatous component in a typical leiomyoma (lipoleiomyoma) is not an uncommon, however, lipoleiomyosarcoma is an extremely rare malignant tumor and only very few cases have been reported so far. We report a case of lipoleiomyosarcoma of uterine corpus in a postmenopausal woman presenting with lower abdominal pain and abdominal mass. Diagnosis of lipoleiomyosarcoma was confirmed by histopathological examination of hysterectomy specimen. This is the first case of lipoleiomyosarcoma of uterus reported from Nepal. Keywords: Lipoleiomyosarcoma, uterus, histopathology, unusual case.   doi:10.3126/njog.v2i1.1482    N. J. Obstet. Gynaecol Vol. 2, No. 1, p. 67 - 70 May -June 2007

scholarly journals First case report of spigelian hernia containing the appendix after liver transplantation: Another cause for chronic abdominal pain

2020 ◽  
Vol 72 ◽  
pp. 533-536
Author(s):  
Lucas Faraco Sobrado ◽  
Lucas Ernani ◽  
Daniel Reis Waisberg ◽  
Luiz Augusto Carneiro-D’Albuquerque ◽  
Wellington Andraus
Keyword(s):  
Liver Transplantation ◽  
Abdominal Pain ◽  
Case Report ◽  
Chronic Abdominal Pain ◽  
Spigelian Hernia ◽  
First Case

scholarly journals Upper spinal neurenteric cyst presenting as right upper abdominal pain and sudden onset of lower limb paralysis: A case report

2020 ◽  
Vol 61 (4) ◽  
pp. 453-454
Author(s):  
Shang-Chi Liu ◽  
Yin-Chih Feng ◽  
Chu-Chuan Lin ◽  
Yee-Hsuan Chiou ◽  
Ken-Pen Weng
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Lower Limb ◽  
Sudden Onset ◽  
Neurenteric Cyst ◽  
Lower Limb Paralysis ◽  
Upper Abdominal

scholarly journals New viral hepatitis caused by covid-19 virus- A case report

2021 ◽  
Vol 7 (2) ◽  
pp. 98-102
Author(s):  
R H Gobbur ◽  
Ranjima M ◽  
Aravind S Akki
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Respiratory Failure ◽  
Liver Injury ◽  
Viral Hepatitis ◽  
Pediatric Patients ◽  
Acute Abdominal Pain ◽  
Diffuse Alveolar Damage ◽  
Gastrointestinal Symptoms ◽  
Symptoms And Signs

During the current COVID-19 pandemic, the assessment, and management of patients are challenging. The clinical features of COVID-19 are heterogeneous and subtle in many cases. Although diffuse alveolar damage and acute respiratory failure are the main features of COVID-19, the impairment of other organs are also seen. Gastrointestinal symptoms are common in pediatric patients with COVID-19 as SARS-CoV-2 is able to enter gastrointestinal epithelial cells. However, these complaints can also be caused by a COVID-19-independent concomitant abdominal pathology. Therefore, patients with fever with acute abdominal pain, anorexia, nausea, vomiting and diarrhea need to be assessed very thoroughly. Previous studies reported that COVID-19 was likely to result in liver injury. Based on clinical cases, we present our approach of management of children with symptoms and signs of viral hepatitis and concomitant suspicion of ­COVID-19.

scholarly journals COVID-19 gastrointestinal manifestation presenting as acute surgical like abdomen

2021 ◽  
Vol 8 (9) ◽  
pp. 2848
Author(s):  
Krishna Ramavath ◽  
Siddharth S. Rao ◽  
Nyna Sindhu ◽  
Tushar Parmeshwar ◽  
Pranay Palle
Keyword(s):  
Respiratory Symptoms ◽  
Rna Virus ◽  
Gastrointestinal Symptoms ◽  
Sudden Onset ◽  
Virus Protein ◽  
Loose Stool ◽  
Diagnostic Dilemma ◽  
Angiotensin Converting Enzyme 2 ◽  
Gastrointestinal Manifestations ◽  
Gastrointestinal Manifestation

COVID-19 disease is caused by severe acute respiratory syndrome corona virus-2 (SARS-CoV-2) which can cause respiratory symptoms more. It can cause gastrointestinal symptoms also due to this RNA virus protein binding to the angiotensin converting enzyme 2 (ACE2) receptors which are abundantly present in stomach, small intestine, large intestine and liver. The gastrointestinal manifestations of COVID-19 disease can present as acute surgical abdomen which can create diagnostic dilemma. We presented a case of COVID-19 disease, admitted in our hospital. Later he had symptoms of acute surgical abdomen symptoms like sudden onset abdominal pain, nausea, vomiting and loose stool without blood. He was properly evaluated and conservatively managed. The gastrointestinal manifestations of COVID-19 disease can present as acute surgical abdomen. So, these patients properly evaluated and then only surgical plan will be made according pathology.

scholarly journals Covid-19 infection without respiratory symptoms: case report of diagnosing a 14 year-old patient with acute abdomen 

2020 ◽  
Author(s):  
Ladan Goshayeshi ◽  
Nasrin Milani ◽  
Robert Bergqueist ◽  
Sayyed Majid Sadrzadeh ◽  
Farnood Rajabzadeh ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Respiratory Rate ◽  
Respiratory Symptoms ◽  
Free Fluid ◽  
Nasopharyngeal Swab ◽  
High Resolution Computed Tomography ◽  
Respiratory Involvement ◽  
Chest X Ray ◽  
Gastrointestinal Manifestation

Abstract Background. Coronavirus Disease 2019 (Covid-19) is expanding worldwide. Although it seems to be a purely respiratory disease, occasional reports of lesions in other organs have been published. We report here an asymptomatic child Covid-19 patient with the main symptom of abdominal pain distension and without any respiratory symptoms.Case presentation. A 14 year-old male patient without respiratory involvement but with main complaints of fever, malaise, anorexia, and severe abdominal pain was admitted to a hospital in Mashhad, Iran. Following general anaesthesia, laparotomy revealed distension of the small intestine and an adhesive ileo-caecal band that had produced ileum herniation without free fluid in the abdomen. The band was surgically severed and the patient referred to the recovery room. Because of pulse rate of 36-40 per min and respiratory rate of 140 and a saturated O2 of 86%, the patient was referred to the intensive care unit. Chest X-ray and high-resolution computed tomography of the lungs showed bilateral, diffuse, peripheral dense areas of ground-glass appearance. A nasopharyngeal swab for Covid-19 diagnosis, ordered due to lymphopenia together with these diffuse lung infiltrations, showed a positive result. This led to drug treatment with lopinavir/ritonavir, hydroxychloroquine, ribavirin/oseltamivir and meropenem. The patient was febrile and developed tachycardia on the third day accompanied with a respiratory rate of 44/min. At this point, tracheal intubation was done but the patient died after 3 hours due to cardiac arrest.Conclusions. The case report brings forth the hypothesis that the gastrointestinal manifestation may be untypical symptoms of Covid-19 infection, and highlights the importance for the diagnosis to be based on combined laboratory-based data and scanning imagery.

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