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.
References
- Chiappini E, Licari A, Motisi MA, Manti S, Marseglia GL, Galli L, et al. Gastrointestinal involvement in children with SARS-COV-2 infection: An overview for the pediatrician. Pediatr Allergy Immunol 2020; 31: 92-5.
- Matthai J, Shanmugam N, Sobhan P. Coronavirus disease (COVID-19) and the gastrointestinal system in children. Indian Pediatr 2020; 57: 533-5.
- Malhotra A, Sturgill M, Whitley-Williams P, Li YH, Esochaghi C, Rajasekhar H, et al. Pediatric COVID-19 and Appendicitis: A Gut Reaction to SARS-CoV-2? Pediatr Infect Dis J 2020; 40: 49-55.
- Makrinioti H, MacDonald A, Lu X, Wallace S, Jobson M, Zhang F, et al. Intussusception in Children with Severe Acute Respiratory Syndrome Coronavirus Infection. J Pediatric Infect Dis Soc 2020; 17: 504-6.
- Lei S, Jiang F, Su W, Chen C, Chen J, Mei W, et al. Clinical characteristics and outcomes of patients undergoing surgeries during the incubation period of COVID-19 infection. E-Clinical Medicine 2020; 5: 100331.
- Zou H, Lu J, Liu J, Wong JH, Cheng S, Li Q, et al. Characteristics of pediatric multi-system inflammatory syndrome (PMIS) associated with COVID-19: a meta-analysis and insights into pathogenesis. Int J Infect Dis 2020; 14: 319-26.
- Foster CE, Marquez L, Davis AL, Tocco E, Koy TH, Dunn J, et al. A Surge in Pediatric Coronavirus Disease 2019 Cases: The Experience of Texas Children’s Hospital from March to June 2020. J Pediatric Infect Dis Soc 2021; 10: 593-8.
- Wang JG, Cui HR, Tang HB, Deng XL. Gastrointestinal symptoms and fecal nucleic acid testing of children with 2019 coronavirus disease: a systematic review and meta-analysis. Sci Rep 2020; 20:17846.
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.
References
- Chiappini E, Licari A, Motisi MA, Manti S, Marseglia GL, Galli L, et al. Gastrointestinal involvement in children with SARS-COV-2 infection: An overview for the pediatrician. Pediatr Allergy Immunol 2020; 31: 92-5.
- Matthai J, Shanmugam N, Sobhan P. Coronavirus disease (COVID-19) and the gastrointestinal system in children. Indian Pediatr 2020; 57: 533-5.
- Malhotra A, Sturgill M, Whitley-Williams P, Li YH, Esochaghi C, Rajasekhar H, et al. Pediatric COVID-19 and Appendicitis: A Gut Reaction to SARS-CoV-2? Pediatr Infect Dis J 2020; 40: 49-55.
- Makrinioti H, MacDonald A, Lu X, Wallace S, Jobson M, Zhang F, et al. Intussusception in Children with Severe Acute Respiratory Syndrome Coronavirus Infection. J Pediatric Infect Dis Soc 2020; 17: 504-6.
- Lei S, Jiang F, Su W, Chen C, Chen J, Mei W, et al. Clinical characteristics and outcomes of patients undergoing surgeries during the incubation period of COVID-19 infection. E-Clinical Medicine 2020; 5: 100331.
- Zou H, Lu J, Liu J, Wong JH, Cheng S, Li Q, et al. Characteristics of pediatric multi-system inflammatory syndrome (PMIS) associated with COVID-19: a meta-analysis and insights into pathogenesis. Int J Infect Dis 2020; 14: 319-26.
- Foster CE, Marquez L, Davis AL, Tocco E, Koy TH, Dunn J, et al. A Surge in Pediatric Coronavirus Disease 2019 Cases: The Experience of Texas Children’s Hospital from March to June 2020. J Pediatric Infect Dis Soc 2021; 10: 593-8.
- Wang JG, Cui HR, Tang HB, Deng XL. Gastrointestinal symptoms and fecal nucleic acid testing of children with 2019 coronavirus disease: a systematic review and meta-analysis. Sci Rep 2020; 20:17846.
Details
| Primary Language | English |
|---|---|
| Subjects | Surgery |
| Journal Section | CASE REPORTS |
| Authors | |
| Publication Date | March 16, 2022 |
| Submission Date | June 18, 2021 |
| Published in Issue | Year 2022 Volume: 16 Issue: 2 |
The publication language of Turkish Journal of Pediatric Disease is English.
Manuscripts submitted to the Turkish Journal of Pediatric Disease will go through a double-blind peer-review process. Each submission will be reviewed by at least two external, independent peer reviewers who are experts in the field, in order to ensure an unbiased evaluation process. The editorial board will invite an external and independent editor to manage the evaluation processes of manuscripts submitted by editors or by the editorial board members of the journal. The Editor in Chief is the final authority in the decision-making process for all submissions. Articles accepted for publication in the Turkish Journal of Pediatrics are put in the order of publication, with at least 7 articles in each issue, taking into account the acceptance dates. If the articles sent to the reviewers for evaluation are assessed as a senior for publication by the reviewers, the section editor and the editor considering all aspects (originality, high scientific quality and citation potential), it receives publication priority in addition to the articles assigned for the next issue.
The aim of the Turkish Journal of Pediatrics is to publish high-quality original research articles that will contribute to the international literature in the field of general pediatric health and diseases and its sub-branches. It also publishes editorial opinions, letters to the editor, reviews, case reports, book reviews, comments on previously published articles, meeting and conference proceedings, announcements, and biography. In addition to the field of child health and diseases, the journal also includes articles prepared in fields such as surgery, dentistry, public health, nutrition and dietetics, social services, human genetics, basic sciences, psychology, psychiatry, educational sciences, sociology and nursing, provided that they are related to this field. can be published.