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Case Reports
. 2022 Oct-Dec;12(4):130-135.
doi: 10.4103/jwas.jwas_170_22. Epub 2022 Nov 23.

Postpartum Multiple Colon Perforation after Cesarean Section in COVID-19 Patients: A Case Series

Monireh Mirzaie  1 , Sara Lotfi  1 , Zahra Yazdi  1 , Azadeh Asgarian  2 , Marzieh Savari  1
Affiliations
Case Reports

Postpartum Multiple Colon Perforation after Cesarean Section in COVID-19 Patients: A Case Series

Monireh Mirzaie et al. J West Afr Coll Surg. 2022 Oct-Dec.

Abstract

Introduction: Gastrointestinal symptoms are present in 50% of polymerase chain reaction (PCR)-positive COVID-19 patients. In addition, bowel abnormalities are a common finding of COVID-19, and bowel-wall disorder is reported in 31% of computed tomography images of COVID-19 patients.

Case history: We report three postpartum cases with colon perforation after Cesarean section and positive PCR for SARS-CoV-2-RNA and during the main peak of COVID-19 pandemic, who were managed by early detection, laparotomy, and effective treatment and were discharged and followed up.

Conclusion: A colonic perforation could be considered as one of the causes of abdominal pain especially in women with a past surgical history as well as patients with infectious diseases such as COVID-19. Therefore, abdominal and pelvic ultrasound or x-ray was strongly recommended for postpartum women with abnormal abdominal distension, gastrointestinal symptoms, and pain to prevent possible fetal complications.

Keywords: Bowel perforation; COVID-19; case report; gastrointestinal symptoms.

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Conflict of interest statement

There are no conflicts of interest.

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