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Spontaneous resolution of intussusception after COVID-19 infection found at laparoscopy in a 6-year-old

The incidence of intussusception is 2.5 per 1000 live births, and infants between 4 and 10 months of age represent the highest frequency peak. Cases of intussusception with acute COVID-19 infection have been reported in infants under one year of age and with one death associated with MIS-C. However,...

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Autores principales: Díaz-Ruiz, Renato, Ponce-de-León-Lovatón, Paula, Delgado-Seminario, Paulo, Urrunaga-Pastor, Diego
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Authors. Published by Elsevier Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8994409/
https://www.ncbi.nlm.nih.gov/pubmed/35433253
http://dx.doi.org/10.1016/j.epsc.2022.102273
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author Díaz-Ruiz, Renato
Ponce-de-León-Lovatón, Paula
Delgado-Seminario, Paulo
Urrunaga-Pastor, Diego
author_facet Díaz-Ruiz, Renato
Ponce-de-León-Lovatón, Paula
Delgado-Seminario, Paulo
Urrunaga-Pastor, Diego
author_sort Díaz-Ruiz, Renato
collection PubMed
description The incidence of intussusception is 2.5 per 1000 live births, and infants between 4 and 10 months of age represent the highest frequency peak. Cases of intussusception with acute COVID-19 infection have been reported in infants under one year of age and with one death associated with MIS-C. However, we have not found reports of intussusception in schoolchildren. We report the case of a 6-year-old male with two days of illness that began with a sensation of temperature rise, headache, abdominal pain, liquid stools with mucus and no blood, hyporexia, chills, and food vomiting. He presented a negative result for the detection of SARS-CoV-2 antigen, negative SARS-CoV-2 IgM/IgG serology positive (lateral flow immunochromatography test), in addition to total IgM/IgG antibodies in 11.88 COI by means of a test of electrochemiluminescence. An abdominal ultrasound was performed that concluded invagination, for which an exploratory laparoscopy was performed and the patient evolved favorably. 13 cases of intussusception associated with acute COVID-19 infection have been described in this group. However, no reports of intussusception have been described after COVID-19 infection in school age. We recommend ruling out active or past SARS-CoV-2 infection in children with gastrointestinal symptoms and, if it exists, ruling out invagination by means of abdominal ultrasound.
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spelling pubmed-89944092022-04-11 Spontaneous resolution of intussusception after COVID-19 infection found at laparoscopy in a 6-year-old Díaz-Ruiz, Renato Ponce-de-León-Lovatón, Paula Delgado-Seminario, Paulo Urrunaga-Pastor, Diego J Pediatr Surg Case Rep Article The incidence of intussusception is 2.5 per 1000 live births, and infants between 4 and 10 months of age represent the highest frequency peak. Cases of intussusception with acute COVID-19 infection have been reported in infants under one year of age and with one death associated with MIS-C. However, we have not found reports of intussusception in schoolchildren. We report the case of a 6-year-old male with two days of illness that began with a sensation of temperature rise, headache, abdominal pain, liquid stools with mucus and no blood, hyporexia, chills, and food vomiting. He presented a negative result for the detection of SARS-CoV-2 antigen, negative SARS-CoV-2 IgM/IgG serology positive (lateral flow immunochromatography test), in addition to total IgM/IgG antibodies in 11.88 COI by means of a test of electrochemiluminescence. An abdominal ultrasound was performed that concluded invagination, for which an exploratory laparoscopy was performed and the patient evolved favorably. 13 cases of intussusception associated with acute COVID-19 infection have been described in this group. However, no reports of intussusception have been described after COVID-19 infection in school age. We recommend ruling out active or past SARS-CoV-2 infection in children with gastrointestinal symptoms and, if it exists, ruling out invagination by means of abdominal ultrasound. The Authors. Published by Elsevier Inc. 2022-06 2022-04-09 /pmc/articles/PMC8994409/ /pubmed/35433253 http://dx.doi.org/10.1016/j.epsc.2022.102273 Text en © 2022 The Authors Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Díaz-Ruiz, Renato
Ponce-de-León-Lovatón, Paula
Delgado-Seminario, Paulo
Urrunaga-Pastor, Diego
Spontaneous resolution of intussusception after COVID-19 infection found at laparoscopy in a 6-year-old
title Spontaneous resolution of intussusception after COVID-19 infection found at laparoscopy in a 6-year-old
title_full Spontaneous resolution of intussusception after COVID-19 infection found at laparoscopy in a 6-year-old
title_fullStr Spontaneous resolution of intussusception after COVID-19 infection found at laparoscopy in a 6-year-old
title_full_unstemmed Spontaneous resolution of intussusception after COVID-19 infection found at laparoscopy in a 6-year-old
title_short Spontaneous resolution of intussusception after COVID-19 infection found at laparoscopy in a 6-year-old
title_sort spontaneous resolution of intussusception after covid-19 infection found at laparoscopy in a 6-year-old
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8994409/
https://www.ncbi.nlm.nih.gov/pubmed/35433253
http://dx.doi.org/10.1016/j.epsc.2022.102273
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