Digestive Manifestation in COVID-19 Patient Complicated by Occlusive Syndrome Admitted to Intensive Care in a Case

• 作者: Abdoulaye Touré Amadou Yalla Camara Bangoura Almamy Boubacar Atigou Dramé Camara M’mah Lamine Camara Mariama Mohamed Emile Camara Fofana Naby Godwe Justin Naibe Joseph Donamou Oularé Ibrahima
• 来源期刊: 急诊医学(英文)
• 学科: 医学
• 关键词: RESUSCITATION COVID-19 Digestive Manifestation Occlusive Syndrome Donka
• 年，卷（期）: 2020,（4）
• 页码范围: 110-117
• 页数: 8页
• 分类号: R57

摘要

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.