Alexa Lardieri US Deputy Health Editor Dailymail.Com
Updated: July 11, 2024 16:16, July 11, 2024 16:23
A woman infected with the new coronavirus suffered a coughing fit so severe it forced her intestines out of her stomach.
University Doctor Illinois in Chicago A medical incident revealed the story. reportHe said it was the first of its kind.
The 52-year-old woman, who had had an abdominal incision during a previous operation, had contracted the virus a few days before the incident.
As a result of repeated coughing, she developed “spontaneous abdominal distention” – the pressure generated by the force of the coughing was so great that it caused her colon to rupture through an old surgical opening.
The patient was taken to the hospital and examined by a doctor. A few inches of intestine It came from her lower left abdomen.
They were able to clean the intestines, return them to her body, and more safely close the wound.
The authors said that while the complication is rare, physicians should consider a patient’s COVID-19 status before performing surgery.
The woman had first had surgery 13 years ago to repair an abdominal hernia – a condition in which an organ breaks through the muscle or tissue that contains it, doctors wrote in their report.
She was incarcerated soon after and had to undergo multiple surgeries over the years to repair the original surgery.
The woman had been infected with COVID-19 five days prior to the unfortunate injury and had been suffering from a coughing fit.
When she arrived at the hospital after a particularly bad coughing fit, doctors saw that her intestines were protruding through the incision from a previous hernia repair.
The report’s authors did not provide further details about the woman’s condition but said she required resuscitation.
She was also given antibiotics to prevent infection of the exposed intestine.
The woman was then taken to an operating theatre where doctors examined her intestines, cleaned them and then put them back inside her.
To reclose the wound, surgeons used several sutures through multiple layers of fat, tissue and skin in the woman’s abdomen, including extremely strong suturing techniques that could withstand the increasing tension inside her body.
The surgery was successful and the woman’s bowel function was intact. There were no further complications and she was discharged after six days in hospital.
Abdominal evisceration is a rare but serious surgical complication. It is also called evisceration and occurs when wound dehiscence, or a reopened wound at the surgical site, causes the patient’s internal organs to protrude through the incision.
a study It’s estimated that up to three in 100 people who undergo abdominal and pelvic surgery will experience wound dehiscence, but it has been found that it may occur in up to 10 percent of elderly patients.
Excessive bleeding, prolonged and severe pain, and damage to exposed organs can result in death in up to four out of 10 patients.
Experts point out that coughing is a major risk factor for complications, with the case report authors writing that “postoperative coughing is a known risk factor for fascial dehiscence and fascial visceral prolapse,” which is associated with a high mortality rate and increased future complications.
Wound dehiscence and evisceration may require surgical treatment to replace the organs in the abdomen and close them. open scratch.
The evisceration site should also be covered with sterile saline to keep the exposed organs moist until surgery can be performed.
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The surgeons added: “As new variants of COVID-19 continue to emerge, new clinical manifestations of COVID-19 are emerging. Although evisceration is a rare manifestation, surgeons should be aware of its possibility and take it into consideration when operating on patients with COVID-19.”
The case study authors report that this is the first reported case of abdominal evisceration in a patient with COVID-19. Florida I recently had a similar injury.
The doctors filed suit in May 2024 report A man who had recently had abdominal surgery ended up with his intestines spilling out of his incision after coughing and sneezing at the same time while eating breakfast with his wife at a restaurant.
The 63-year-old man noticed a “wet” sensation, followed by a sharp pain, and when he lifted his shirt he saw several inches of his intestine protruding from the surgical wound.
He was quickly rushed to the operating room, where surgeons were able to safely return his intestines to his abdomen.
The man recovered in hospital for six days before returning home and experienced no further complications.