TITLE:
Digestive Manifestation in COVID-19 Patient Complicated by Occlusive Syndrome Admitted to Intensive Care in a Case
AUTHORS:
Abdoulaye Touré, Amadou Yalla Camara, Joseph Donamou, Boubacar Atigou Dramé, Fofana Naby, Oularé Ibrahima, Camara M’mah Lamine, Bangoura Almamy, Camara Mariama Mohamed, Emile Camara, Godwe Justin Naibe
KEYWORDS:
Resuscitation, COVID-19, Digestive Manifestation, Occlusive Syndrome, Donka
JOURNAL NAME:
Open Journal of Emergency Medicine,
Vol.8 No.4,
December
23,
2020
ABSTRACT: We report the case of a 39-year-old patient with a history of chronic gastritis, functional colopathy and appendectomy, referred by another public institution for severe abdominal pain. He had been admitted 6 days previously for nausea, vomiting, diarrhea, fever, asthenia since the onset of dyspnea with 89% desaturation in ambient air and a dry cough. A diagnosis of gastroenteritis was made and treated without success. The appearance of abdominal distension and bloating motivated his transfer to the CTPI where the rRT-PCR was carried out positive and an X-ray of the abdomen without preparation which had demonstrated a significant aerocoly with agglutination of handle. Surgical management under general anesthesia found a clean cavity after coeliotomy, multiple intestino-intestinal, intestino-parietal and omentum-parietal adhesions. The gesture consisted of an adhesiolysis, omentectomy. The postoperative follow-up was favorable with resumption of transit on D5 postoperative. Put under the COVID-19 treatment protocol, the rRT-PCR was negative on D13, output on D14 and removal of the D19 files without postoperative complications.