Daniel Ardian Soeselo1,2, Wirawan Hambali3, Sandy Theresia4. 1. Department of Surgery, School of Medicine and Health Science, Atma Jaya Catholic University of Indonesia, Pluit Raya No. 2, North Jakarta, 14440, Jakarta, Indonesia. daniel.ardian@atmajaya.ac.id. 2. Department of Surgery, Pondok Indah Puri Indah Hospital, Puri Indah Raya S-2, West Jakarta, Jakarta, 11610, Indonesia. daniel.ardian@atmajaya.ac.id. 3. Department of Internal Medicine, Pondok Indah Puri Indah Hospital, Puri Indah Raya S-2, West Jakarta, 11610, Jakarta, Indonesia. 4. Department of Surgery, School of Medicine and Health Science, Atma Jaya Catholic University of Indonesia, Pluit Raya No. 2, North Jakarta, 14440, Jakarta, Indonesia.
Abstract
BACKGROUND: In patients who are critically ill with COVID-19, multiple extrapulmonary manifestations of the disease have been observed, including gastrointestinal manifestations. CASE PRESENTATION: We present a case of a 65 year old man with severe COVID-19 pneumonia that developed hypercoagulation and peritonitis. Emergent laparotomy was performed and we found bowel necrosis in two sites. CONCLUSIONS: Although rare, the presentation of COVID-19 with bowel necrosis requires emergency treatments, and it has high mortality rate.
BACKGROUND: In patients who are critically ill with COVID-19, multiple extrapulmonary manifestations of the disease have been observed, including gastrointestinal manifestations. CASE PRESENTATION: We present a case of a 65 year old man with severe COVID-19 pneumonia that developed hypercoagulation and peritonitis. Emergent laparotomy was performed and we found bowel necrosis in two sites. CONCLUSIONS: Although rare, the presentation of COVID-19 with bowel necrosis requires emergency treatments, and it has high mortality rate.
Entities:
Keywords:
Bowel necrosis; COVID-19; General surgery