Case report
A 68-year-old no smoking male patient with no past medical history,
presented with epigastric pain and diarrhea since 4 days. In the
physical examination he was febrile at 38.5°C and he has hypogastric
tenderness. Blood test showed WBC 17 660/mL and C-reactive protein
125mg/l. A CT scan showed a thickening of the right colon wall and the
last 30 cm of the small bowl associated (Fig 2-3) with an obstruction of
the terminal segment of the ilio colic artery (Fig1). There were no
other signs of ischemia. We decided to put the patient under medical
treatment with unfractionned heparine. On the second day of his stay he
developed a dry cough and the abdominal pain decreased. We performed a
laparoscopy on the third day that showed a normal condition of the colon
and the small bowl. With the appearance of respiratory signs and the
pandemic context, we decided to perform a COVID-19 RT-PCR test to the
patient. He tested positive. After 1 week of treatment, the patient is
asymptomatic with soft abdomen and normal rate of WBC and C-reactive
protein.