tetano
Editor, Senior Moderator
Cureus
. 2022 Mar 25;14(3):e23488.
doi: 10.7759/cureus.23488. eCollection 2022 Mar.
Pediatric Intussusception Following COVID-19 Infection: A Rare Presentation
Cuong D Tran[SUP] 1 [/SUP], Christina Cheung[SUP] 1 [/SUP], Benjamin Archambeau[SUP] 1 [/SUP], Fanglong Dong[SUP] 1 [/SUP], Michael M Neeki[SUP] 1 [/SUP]
Affiliations
Abstract
Pediatric intussusception has been reported to be associated with coronavirus disease 2019 (COVID-19) infection in the literature since the start of the pandemic in the past two years. Although this occurrence is exceptionally rare, rapid diagnosis based on recognition of gastrointestinal manifestations, clinical examination, and ultrasound confirmation can expedite appropriate care and prevent delayed complications. Intussusception is the most common cause of intestinal obstruction and acute abdomen in pediatric patients. Without prompt identification, the disease process can lead to necrosis, bowel perforation, shock, and, subsequently, multiorgan failure. Intussusception has previously been associated with viral upper respiratory infections, which can cause mesenteric lymphadenopathy as a lead point to allow the bowel to telescope upon itself. The mechanism of how COVID-19 can contribute to intussusception without respiratory symptoms remains unknown. Here, we present a case of pediatric intussusception associated with COVID-19.
Keywords: computed tomography; covid-19; emergency department; pediatric intussusception; ultrasound.
. 2022 Mar 25;14(3):e23488.
doi: 10.7759/cureus.23488. eCollection 2022 Mar.
Pediatric Intussusception Following COVID-19 Infection: A Rare Presentation
Cuong D Tran[SUP] 1 [/SUP], Christina Cheung[SUP] 1 [/SUP], Benjamin Archambeau[SUP] 1 [/SUP], Fanglong Dong[SUP] 1 [/SUP], Michael M Neeki[SUP] 1 [/SUP]
Affiliations
- PMID: 35475107
- PMCID: PMC9035313
- DOI: 10.7759/cureus.23488
Abstract
Pediatric intussusception has been reported to be associated with coronavirus disease 2019 (COVID-19) infection in the literature since the start of the pandemic in the past two years. Although this occurrence is exceptionally rare, rapid diagnosis based on recognition of gastrointestinal manifestations, clinical examination, and ultrasound confirmation can expedite appropriate care and prevent delayed complications. Intussusception is the most common cause of intestinal obstruction and acute abdomen in pediatric patients. Without prompt identification, the disease process can lead to necrosis, bowel perforation, shock, and, subsequently, multiorgan failure. Intussusception has previously been associated with viral upper respiratory infections, which can cause mesenteric lymphadenopathy as a lead point to allow the bowel to telescope upon itself. The mechanism of how COVID-19 can contribute to intussusception without respiratory symptoms remains unknown. Here, we present a case of pediatric intussusception associated with COVID-19.
Keywords: computed tomography; covid-19; emergency department; pediatric intussusception; ultrasound.