A case of jejunal perforation secondary to jejunal diverticulosis in a patient with COVID-19 pneumonia

Authors

  • Varsha A. Sharma Department of General Surgery, Dr. Balabhai Nanavati Hospital, Mumbai, Maharashtra, India
  • Manmohan M. Kamat Department of General Surgery, Dr. Balabhai Nanavati Hospital, Mumbai, Maharashtra, India
  • Jeena K. Sathyan Department of General Surgery, Dr. Balabhai Nanavati Hospital, Mumbai, Maharashtra, India
  • Seema Barman Department of General Surgery, Dr. Balabhai Nanavati Hospital, Mumbai, Maharashtra, India
  • Shravani Shetye Department of General Surgery, Dr. Balabhai Nanavati Hospital, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-2902.isj20210393

Keywords:

Jejunal diverticulosis, Jejunal perforation, COVID-19 pneumonia, Gastrointestinal symptoms in COVID-19 disease

Abstract

Jejunal diverticulitis is a rare disease, with jejunal perforation as its rarest complications due to low intraluminal pressure. Since the current pandemic of COVID-19 it has shown to be affecting gastrointestinal system in a proportion of patients, and worsening of pre-existing GI conditions. We encountered a case of a 75 years old gentleman, suffering with severe COVID-19 pneumonia, who during the course of the disease presented with spontaneous Jejunal perforation, secondary to jejunal diverticulosis. Jejunal diverticula are the least common type of small bowel diverticula & perforation as their complication is the rarest of all complications. Their presentation is variable from asymptomatic to chronic abdominal symptoms and the complications such as perforation as described in our case. Their relative clinical rarity and varied presentation may make diagnosis both delayed and difficult.  

 

Author Biographies

Varsha A. Sharma, Department of General Surgery, Dr. Balabhai Nanavati Hospital, Mumbai, Maharashtra, India

Resident in the Department of General Surgery

Manmohan M. Kamat, Department of General Surgery, Dr. Balabhai Nanavati Hospital, Mumbai, Maharashtra, India

HOD, Dept of General Surgery

Jeena K. Sathyan, Department of General Surgery, Dr. Balabhai Nanavati Hospital, Mumbai, Maharashtra, India

General Surgery Resident

Seema Barman, Department of General Surgery, Dr. Balabhai Nanavati Hospital, Mumbai, Maharashtra, India

General Surgery Resident

Shravani Shetye, Department of General Surgery, Dr. Balabhai Nanavati Hospital, Mumbai, Maharashtra, India

General Surgery Resident

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Published

2021-01-29

Issue

Section

Case Reports