Colonic perforation in 91- year- old man with severe Covid-19 infection

Khin Phyu Pyar*, Min Aung Shan, Soe Win Hlaing, Diwon, Zarni Htet Aung, Soe Min Aung, Nyan Lin Maung and Aung Phyoe Kyaw

A-91-year old man had severe Covid-19 infection (bilateral pneumonia, SaO2 85% on air). He was treated with antibiotics, oxygen, dexamethasone and convalescent plasma therapy. On day 28 symptom onset, he noticed abdominal distension without abdominal pain. CT abdomen revealed pneumoperitoneum. An area of perforation at colon with mucosal haemorrhage was seen in laparotomy. Right hemicolectomy was done. Histology showed mucosal oedema, infiltration with inflammatory cells mainly polymorphs and lymphocytes, congested vessels with areas of haemorrhage in the mucosa.

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Published on: Dec 24, 2020 Pages: 41-43

Full Text PDF Full Text HTML DOI: 10.17352/jcmbt.000043
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