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Case Reports
. 2021 Apr:67:101807.
doi: 10.1016/j.epsc.2021.101807. Epub 2021 Feb 4.

Spontaneous Ileum Perforation in a premature twin with Coronavirus-19 positive mother

Aminuddin Harahap  1 , Agus Harianto  1 , Risa Etika  1 , Martono Tri Utomo  1 , Dina Angelika  1 , Kartika Darma Handayani  1 , Mahendra Tri Arif Sampurna  1
Affiliations
Case Reports

Spontaneous Ileum Perforation in a premature twin with Coronavirus-19 positive mother

Aminuddin Harahap et al. J Pediatr Surg Case Rep. 2021 Apr.

Abstract

Spontaneous intestinal perforation (SIP) of the newborn is a single intestinal perforation commonly found in the terminal ileum without distinct causes. These cases often associated with prematurity. The new COVID-19 in pregnancy increased the risk of premature rupture of membranes, preterm delivery, intrauterine fetal death (IUFD), and low birth weight (LBW). Here we report a premature twin with SIP that was born from Coronavirus-19 positive mother.

Keywords: COVID-19; Neonatology; Spontaneous intestinal perforation.

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Conflict of interest statement

The following authors have no financial disclosures: Am H, Ag H, RE, MTU, DA, KDH, MTAS.

Figures

Fig. 1
Fig. 1
Pneumoperitoneum: shadow appearance in x-ray shown the presence of air or gas in the right and left sub-hemidiaphragm, forming a continuous diaphragm sign, and surround the entire abdominal wall, creating a football sign.
Fig. 2
Fig. 2
SIP operation procedure. 2A. One cm of ileum perforation was found (black circle). 2B. Ileum resection and Mikulicz stoma ileostomy were performed. 2C. Post-operation, the surgical wound has been sutured.
Fig. 2
Fig. 2
SIP operation procedure. 2A. One cm of ileum perforation was found (black circle). 2B. Ileum resection and Mikulicz stoma ileostomy were performed. 2C. Post-operation, the surgical wound has been sutured.
Fig. 2
Fig. 2
SIP operation procedure. 2A. One cm of ileum perforation was found (black circle). 2B. Ileum resection and Mikulicz stoma ileostomy were performed. 2C. Post-operation, the surgical wound has been sutured.
Fig. 3
Fig. 3
Histopathology examination of ileal tissue. 3A. Partial erosion of mucosal lining (red arrow). 3B. Inflammatory cells, lymphocytes, histiocytes, plasma cells, and eosinophils (green arrow). 3C. Dilatation of blood vessels (blue arrow). 3D. Extravasation of erythrocytes (yellow arrow). (For interpretation of the references to colour in this figure legend, the reader is referred to the Web version of this article.)
Fig. 3
Fig. 3
Histopathology examination of ileal tissue. 3A. Partial erosion of mucosal lining (red arrow). 3B. Inflammatory cells, lymphocytes, histiocytes, plasma cells, and eosinophils (green arrow). 3C. Dilatation of blood vessels (blue arrow). 3D. Extravasation of erythrocytes (yellow arrow). (For interpretation of the references to colour in this figure legend, the reader is referred to the Web version of this article.)
Fig. 3
Fig. 3
Histopathology examination of ileal tissue. 3A. Partial erosion of mucosal lining (red arrow). 3B. Inflammatory cells, lymphocytes, histiocytes, plasma cells, and eosinophils (green arrow). 3C. Dilatation of blood vessels (blue arrow). 3D. Extravasation of erythrocytes (yellow arrow). (For interpretation of the references to colour in this figure legend, the reader is referred to the Web version of this article.)
Fig. 3
Fig. 3
Histopathology examination of ileal tissue. 3A. Partial erosion of mucosal lining (red arrow). 3B. Inflammatory cells, lymphocytes, histiocytes, plasma cells, and eosinophils (green arrow). 3C. Dilatation of blood vessels (blue arrow). 3D. Extravasation of erythrocytes (yellow arrow). (For interpretation of the references to colour in this figure legend, the reader is referred to the Web version of this article.)
See this image and copyright information in PMC

References

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