Selected article for: "acute kidney injury and continuous CRRT renal replacement therapy"
Author: Alharthy, Abdulrahman; Balhamar, Abdullah; Faqihi, Fahad; Nasim, Nasir; Noor, AlFateh; Alqahtani, Saleh A.; Memish, Ziad A.; Karakitsos, Dimitrios
Title: COVID-19 presenting as acute abdomen and sepsis: a rare case-report
  • Cord-id: qq631ur8
  • Document date: 2020_11_17
    • ID: qq631ur8
    Snippet: COVID-19 may present as acute abdomen although the pathophysiology remains obscure. A 45 year-old-man had severe COVID-19 pneumonia with associated pulmonary embolism, and presented with acute abdomen. He underwent emergency laparotomy, and resection of an ischemic area of the jejunum. Postoperatively, he had septic shock, acute-respiratory-distress-syndrome, and acute kidney injury necessitating continuous-renal-replacement-therapy (CRRT). We administered antibiotics and therapeutic anticoagula
    Document: COVID-19 may present as acute abdomen although the pathophysiology remains obscure. A 45 year-old-man had severe COVID-19 pneumonia with associated pulmonary embolism, and presented with acute abdomen. He underwent emergency laparotomy, and resection of an ischemic area of the jejunum. Postoperatively, he had septic shock, acute-respiratory-distress-syndrome, and acute kidney injury necessitating continuous-renal-replacement-therapy (CRRT). We administered antibiotics and therapeutic anticoagulation along with two sessions of hemoadsorption by CytoSorb® filter, in conjunction to the CRRT. The patient finally survived. Bowel ischemia due to thromboembolic disease should be promptly treated. Extracorporeal blood purification may be useful in managing sepsis in severe COVID-19.

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