Sars-Cov-19 Enfeksiyonu Sonrası Adeziv Bağırsak Tıkanıklığına Neden Olan Cerrahi Sonrası Yaygın Peritonit: Olgu Sunumu

Abstract

Amacımız cerrahi sonrası sonuçlarda COVİD-19 ilişkili tanı ve tedavi güçlüklerini tartışmaktır. Yenidoğan döneminde jejunal atrezi nedeniyle ameliyat olan 5 yaşında erkek hasta tekrarlayan safralı kusma nedeniyle başvurdu. Üst GİS tetkikinde mekanik tıkanıklık olmadan jejunal segment dilatasyonu izlendi. Dilate jejunuma rezeksiyon ve anastomoz yapıldı. Sonrasında, anastamoz kaçağı olmayan hastada peritonit bulguları gelişti. İkinci cerrahi eksplorasyonda zor ayrılabilen adeziv bantlara neden olan kalınlaşmış fibröz bantlar ve yaygın peritonit izlendi. Hastanın tekrarlanan öyküsünden büyükannesinde cerrahi öncesinde COVİD-PCR pozitifliği olduğu öğrenildi. Dolayısıyla, pandemi süreci boyunca atipik post-operatif seyir yaşayan hastalarda COVİD-19 araştırması yapılmalıdır.

Keywords

• SARS-CoV-2
• peritonit
• adeziv tıkanıklık
• postoperatif
• çocuk

Postoperative Diffuse Peritonitis Causing Adhesive Bowel Obstruction Possibly Due to Sars-Cov-19 Infection: Report of a Case

Abstract

Aim is to discuss diagnostic and therapeutic difficulties in COVID-19 related postoperative outcomes. A 5-year-old boy operated for jejunal atresia in neonatal period admitted with recurrent bilious vomiting. The upper GI series revealed dilated jejunum and absence of mechanical obstruction. The dilated jejunal segment was excised and anastomosis was performed. Later, he developed peritonitis without signs of anastomotic leaks. The second surgical exploration revealed diffuse peritonitis causing thickened and fibrous bowel loops causing hardly lysable adhesions. Then, his grandmother was learned to be COVID-PCR positive. Therefore, patients with atypical postoperative course should be investigated for possible COVID-19 during pandemics.

Keywords

• SARS-CoV-2
• peritonitis
• adhesive obstruction
• postoperative
• children

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