Two cases of acute abdominal pain in patients with COVID-19 in their second week of illness JaypeeJournals pain coronavirus covid COVID19 illness
By Tarun Sai LomteOct 17 2022Reviewed by Danielle Ellis, B.Sc. In a recent study published in the Indian Journal of Critical Care Medicine, researchers described two cases of acute pain in the abdomen of patients with coronavirus disease 2019 .
The study and findings In the present study, researchers described MP in two patients with COVID-19. The first patient was a female aged 55 who presented with nausea and upper abdominal pain for four days. The subject tested SARS-CoV-2-positive 10 days before and had mild disease. The patient had asthma for three decades and diabetes for the past two years. The case was afebrile for five days before admission.
Related StoriesLaboratory investigation showed elevated D-dimer and C-reactive protein levels and neutrophilic leukocytosis. Contrast-enhanced computed tomography of the abdomen showed smudging of flat planes around superior mesenteric vessels and branches in the root of small bowel mesentery associated with mesenteric lymph nodes, suggesting MP.
Examination revealed a pulse rate of 130 beats/minute, normal blood pressure, SpO2 of 86% , and a respiratory rate of 30 breaths/minute. Auscultation revealed bilateral crackles. Chest CT scan showed bilateral diffuse ground-glass opacities concordant with COVID-19 pneumonia, also confirmed by a SARS-CoV-2 reverse-transcription polymerase chain reaction test.
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