A 91-year-old man with bilateral acute pneumonia and a SaO2 of 85 percent on air had severe Covid-19 infection. Antibiotics, oxygen, dexamethasone, and convalescent plasma treatment were used to treat him. He exhibited loose motion and abdominal distension without abdominal pain on day 28 after recovering from respiratory failure. Then he acquired septic shock and peritonism symptoms all of a sudden. Pneumoperitoneum was discovered on a CT scan of the abdomen. Emergency laparotomy was performed after resuscitation with fluids, inotropes, and antibiotics. There was a puncture in the colon with mucosal bleeding. The right hemicolectomy was carried out. Mucosal oedema, infiltration with inflammatory cells, primarily polymorphs and lymphocytes, congested vessels, and areas of haemorrhage in the mucosa were all seen on histology. Septic shock necessitated two inotropes, a blood transfusion, and fluids in the post-operative period. ARDS and multiorgan failure added to the difficulty.
Author(S) Details
Khin Phyu Pyar
Department of Medicine, Defence Services Medical Academy, Mingalardon 11021, Myanmar.
Min Aung Shan
Department of Medicine, Defence Services Medical Academy, Mingalardon 11021, Myanmar.
Soe Win Hlaing
Department of Medicine, Defence Services Medical Academy, Mingalardon 11021, Myanmar.
Diwon .
Department of Medicine, Defence Services Medical Academy, Mingalardon 11021, Myanmar.
Zarni Htet Aung
Department of Medicine, Defence Services Medical Academy, Mingalardon 11021, Myanmar.
Soe Min Aung
Department of Medicine, Defence Services Medical Academy, Mingalardon 11021, Myanmar.
Nyan Lin Maung
Department of Medicine, Defence Services Medical Academy, Mingalardon 11021, Myanmar.
Aung Phyoe Kyaw
Department of Medicine, Defence Services Medical Academy, Mingalardon 11021, Myanmar.
View Book:- https://stm.bookpi.org/IDMMR-V7/article/view/5775
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