Rare case of COVID-19 presenting as acute abdomen and sepsis

A. Alharthy, A. Balhamar, F. Faqihi, N. Nasim, A. F. Noor, S. A. Alqahtani, Z. A. Memish, D. Karakitsos

Research output: Contribution to journalArticlepeer-review

Abstract

Coronavirus disease 2019 (COVID-19) may present as acute abdomen, although the pathophysiology remains obscure. We report the case of a 45-year-old-man with severe COVID-19 pneumonia with associated pulmonary embolism who presented with acute abdomen. He underwent emergency laparotomy and resection of an ischaemic area of the jejunum. Postoperatively, he had septic shock, acute respiratory distress syndrome and acute kidney injury necessitating continuous renal replacement therapy. We administered antibiotics and therapeutic anticoagulation along with two sessions of haemoadsorption by CytoSorb filter, in conjunction with continuous renal replacement therapy. The patient survived. Bowel ischaemia due to thromboembolic disease should be promptly treated. Extracorporeal blood purification may be useful in managing sepsis in severe COVID-19.

Original languageEnglish (US)
Article number100818
JournalNew Microbes and New Infections
Volume38
DOIs
StatePublished - Nov 2020

Keywords

  • Acute abdomen
  • COVID-19
  • extracorporeal blood purification therapies
  • sepsis
  • thromboembolic disease

ASJC Scopus subject areas

  • Microbiology
  • Infectious Diseases

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