Home » AGEB Journal » Issues » Volume 85" » Fasc.2 - Case reports » Article details

Abdominal pain in covid times: time to think twice

Journal Volume 85 - 2022
Issue Fasc.2 - Case reports
Author(s) M-A.Noreillie 1, F. Dedeurwaerdere 2, J. Jijo 3, S. Al Hanini 3, F. Marolleau 4
Full article
Full Article
PAGES 400-402
(1) Gastroenterology department, AZ Delta, Roeselare, Belgium
(2) Pathology department, AZ Delta, Roeselare, Belgium
(3) Pediatric department, AZ Delta, Menen, Belgium
(4) Gastroenterology department, AZ Delta, Menen, Belgium

We report a case of abdominal pain followed by acute systolic heart failure due to multisystem inflammatory syndrome in children (MIS-C). This multisystem disease typically appears several weeks after infection with COVID-19 in children and young adults. There is a wide spectrum of presentation with MIS-C: some present with features of shock, others with a condition that has overlapping characteristics with Kawasaki disease (KD), and others with more non-specific features. Very often the symptoms include gastrointestinal symptoms. Our 17-year-old patient presented with fever, abdominal pain and inflammatory laboratory results. Rapidly after admission he developed acute heart failure with biopsy-confirmed myocarditis. The diagnostic criteria of MIS-C were met. This case emphasizes the changing diagnostic landscape. However rare, we want to raise awareness for MIS-C in children and young adults presenting with abdominal pain. Because of the risk of rapid clinical deterioration, early recognition and a multidisciplinary approach can be life-saving.

Keywords: COVID-19, PIMS, MIS-C, myocarditis.

The authors declare that they have no conflict of interest.
© Acta Gastro-Enterologica Belgica.
PMID 35709786