Pneumatosis intestinalis and intestinal perforation in a case of multisystem inflammatory syndrome in children

Lela Heza; Aliza Olive; Jenna Miller

doi:10.1136/bcr-2021-241688

Pneumatosis intestinalis and intestinal perforation in a case of multisystem inflammatory syndrome in children

BMJ Case Rep. 2021 Apr 22;14(4):e241688. doi: 10.1136/bcr-2021-241688.

Authors

Lela Heza¹, Aliza Olive², Jenna Miller³

Affiliations

¹ Medical School, Kansas City University, Kansas City, MO, USA.
² Critical Care, Children's Mercy Hospital, Kansas City, MO, USA aolive@cmh.edu.
³ Critical Care, Children's Mercy Hospital, Kansas City, MO, USA.

Abstract

This case demonstrates pneumatosis intestinalis and small bowel perforation in a paediatric patient with multisystem inflammatory syndrome in children (MIS-C). Our patient presented with fever, abdominal pain and shortness of breath. She progressed to haemodynamic failure and small bowel perforation approximately 1 week after admission. Patients with suspected or confirmed MIS-C should be monitored closely for abdominal catastrophe, especially when critically ill in the intensive care unit.

Keywords: COVID-19; paediatric surgery.

Publication types

Case Reports

MeSH terms

Child
Female
Humans
Intestinal Perforation* / diagnostic imaging
Intestinal Perforation* / etiology
Pneumatosis Cystoides Intestinalis* / diagnostic imaging
Pneumatosis Cystoides Intestinalis* / etiology
Systemic Inflammatory Response Syndrome / complications*