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Cited by 7COVID-19 Clinical Research StudiesAbdominal vascular conditions and treatmentsLong-Term Effects of COVID-19

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Bowel necrosis associated with COVID-19 pneumonia: A report of two cases

Open access
Mir, Mohadeseh Zadeh, Mashhadi, Amin, Jahantigh, Mehdi, Seyedi, Seyed Jalal·2021·Radiology Case Reports
DOI 10.1016/j.radcr.2021.01.043PMC PMC7826008
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Abstract

A novel coronavirus, called as SARS-CoV-2, caused multiple typical and atypical respiratory symptoms with several reported abdominal findings. We have described 2 cases of an unusual presentation of Covid-19. For patient 1, a woman aged 59-year-old had pneumonia and new onset abdominal pain. In patient 2, a 60-year-old man admitted with positive polymerase chain reaction test and abdominal pain from 2 weeks ago. Both lung and abdominal computed tomography (CT) were achieved in a few days. Acute ischemic mesenteritis and other abdominal complications were observed in the CT scan. Bowel necrosis in combination with peritonitis founded by laparotomy. Early diagnosis of abdominal complications in Covid-19 pneumonia can improve patient outcomes.

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Crossref · 10.1016/j.radcr.2021.01.043

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Figures

Fig. 1-1 Upper abdominal images exhibit small area of pneumoperitoneum.
Fig. 1-1 Upper abdominal images exhibit small area of pneumoperitoneum.CC BY-NC-ND · PubMed Central
Fig. 1-2 Craniocaudal contrast-enhanced CT images of the abdomen show multiple segmental infarction of the spleen.
Fig. 1-2 Craniocaudal contrast-enhanced CT images of the abdomen show multiple segmental infarction of the spleen.CC BY-NC-ND · PubMed Central
Fig. 1-3 Portal phase post abdominal CT scan demonstrates cecal wall infarction defect with pneumoperitoneum and free fluid.
Fig. 1-3 Portal phase post abdominal CT scan demonstrates cecal wall infarction defect with pneumoperitoneum and free fluid.CC BY-NC-ND · PubMed Central
Fig. 1-4 Contrast-enhanced images shows a thickened small bowel wall, mesenteric stranding and vascular engorgement.
Fig. 1-4 Contrast-enhanced images shows a thickened small bowel wall, mesenteric stranding and vascular engorgement.CC BY-NC-ND · PubMed Central
Fig. 1-5 Coronal image reveals large bowel necrosis and small bowel ischemia.
Fig. 1-5 Coronal image reveals large bowel necrosis and small bowel ischemia.CC BY-NC-ND · PubMed Central
Fig. 1-6 Chest CT Scan reveals diffuse bilateral peripheral patchy ground glass opacity with mild vascular dilation.
Fig. 1-6 Chest CT Scan reveals diffuse bilateral peripheral patchy ground glass opacity with mild vascular dilation.CC BY-NC-ND · PubMed Central
Fig. 1-7 Mucosal infarction of the intestine.
Fig. 1-7 Mucosal infarction of the intestine.CC BY-NC-ND · PubMed Central
Fig. 1-8 Vascular thrombosis of mesenteric vein.
Fig. 1-8 Vascular thrombosis of mesenteric vein.CC BY-NC-ND · PubMed Central
Fig. 1-9 Acute serositis.
Fig. 1-9 Acute serositis.CC BY-NC-ND · PubMed Central
Fig. 2-1 Contrast enhanced CT scan demonstrates air-fluid level in upper abdomen and segmental infarction of the right kidney.
Fig. 2-1 Contrast enhanced CT scan demonstrates air-fluid level in upper abdomen and segmental infarction of the right kidney.CC BY-NC-ND · PubMed Central
Fig. 2-2 Axial image exhibit intramural air in the cecal wall with free intraperitoneal fluid.
Fig. 2-2 Axial image exhibit intramural air in the cecal wall with free intraperitoneal fluid.CC BY-NC-ND · PubMed Central
Fig. 2-3 Arterial phase image reveals wedge shape hypodensity in upper pole of spleen.
Fig. 2-3 Arterial phase image reveals wedge shape hypodensity in upper pole of spleen.CC BY-NC-ND · PubMed Central
Fig. 2-4 Axial CT image with lung window shows peripheral bilateral patchy GGO with subpleural band and bronchiectasis compatible with late phase of covid-19.
Fig. 2-4 Axial CT image with lung window shows peripheral bilateral patchy GGO with subpleural band and bronchiectasis compatible with late phase of covid-19.CC BY-NC-ND · PubMed Central
Fig. 2-5 Bowel necrosis in cecum & ascending colon.
Fig. 2-5 Bowel necrosis in cecum & ascending colon.CC BY-NC-ND · PubMed Central

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Research works printed but not linked: 11

  1. Vernuccio, 2020, Thromboembolic complications of COVID-19: the combined effect of a pro-coagulant pattern and an endothelial thrombo-inflammatory syndrome, Clin Radiol, 10.1016/j.crad.2020.07.019 · DOI
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  11. G. Taourel, 1996, Acute mesenteric ischemia: diagnosis with contrast-enhanced CT, RSNA

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Metadata

Authors
Mir, M. Z., Mashhadi, A., Jahantigh, M., & Seyedi, S. J.
Affiliations
Zahedan University of Medical Sciences (IR)
ORCID
Mashhadi, Amin
Venue
Radiology Case Reports
Publisher
Elsevier BV
Published
2021-04
Volume
16
Issue
4
Pages
819-823
ISSN
1930-0433 (ISSN-L)
DOI
10.1016/j.radcr.2021.01.043
PMC
PMC7826008
OpenAlex
W3123777525
Cited by
7
References
0
Citations by year
2025: 1 · 2023: 4 · 2022: 1 · 2021: 1
FWCI
0.48
Type
journal article
Language
en
Update notices
erratum (2023-03-01)
Open access
Licence
Locations
  • Radiology Case Reports (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
  • Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
  • Health Sciences › Medicine › Clinical Neurology › Long-Term Effects of COVID-19
Keywords
COVID-19 pandemic, SARS-CoV-2, intestinal necrosis, mesenteric ischemia, peritonitis, abdominal complications, abdominal pain, pneumonia, laparotomy, computed tomography findings

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