Initially considered to be a respiratory disease, coronavirus disease 2019 (COVID-19) is now recognized as a multisystem disease known to affect all the major organs, including the gastrointestinal system. Based on recent studies, severe acute respiratory syndrome coronavirus 2 causes dysregulation of multiple biological pathways, triggers an exaggerated immune response, and affects multiple organs. The gastrointestinal symptoms in COVID-19 are common but often overlooked. We report the case of a 50-year-old female with a recent history of COVID-19 presenting with complaints of abdominal pain and constipation. Initially, the patient was treated for respiratory symptoms and discharged home. Subsequently, she was re-admitted and diagnosed with colonic obstruction on radiology. Laparotomy revealed descending and sigmoid colonic gangrene requiring left colectomy. This case highlights the uncommon but severe gastrointestinal manifestations of COVID-19.
【저자키워드】 COVID-19, SARS-CoV-2, colectomy, sigmoid colon, small vessel vasculitis, intestinal ischemia, bowel gangrene, 【초록키워드】 coronavirus disease, coronavirus, abdominal pain, Respiratory disease, female, disease, Trigger, manifestation, dysregulation, constipation, acute respiratory syndrome, multiple organs, respiratory symptom, biological pathways, exaggerated immune response, Gastrointestinal symptom, gastrointestinal system, major organs, Affect, Laparotomy, highlight, discharged home, the patient, diagnosed, treated, cause, presenting, colonic, descending, Initially, 【제목키워드】 sequela,