Mesenteric lymphadenopathy in COVID-19 infection (Jammu and Kashmir sign) as a presenting sign in adult: case report. Issue 2 (12th October 2020)

• Record Type: Journal Article
• Authors: Wani, Imtiaz; Tantray, Hanief M.; Agha, Nadeem; Rashid, Masood; Lone, Wasim; Younus, Umar; Khan, Nawab; Ashraf, Samina; Pandith, Samiullah; Jan, Tariq
• Is Part Of: International journal of surgery short reports. Volume 5:Issue 2(2020)
• Page Start: e10
• Page End: e10
• Publication Date: 2020-10-12
• Subjects: COVID-19 -- Mesenteric -- Lymphadenopathy -- RT-PCR -- SARS-CoV-2 -- Gastrointestinal; 617
• DOI: 10.1097/SR9.0000000000000010
• Languages: English
• ISSNs: 2468-7340

Abstract

Abstract : Introduction: Mesenteric lymphadenopathy in an adult with gastrointestinal COVID-19 infection is a very rare. Ultrasonography is helpful in the diagnosis of mesenteric lymphadenopathy in COVID-19 infection. Presentation of Case: A 33-year-old man presented with recurrent abdominal pain of 5 days duration. Ultrasonography and computed tomography of abdomen documented findings of the diffuse mesenteric lymphadenopathy, mostly on the left upper abdomen followed by right upper abdomen. Real time-polymerase chain reaction for SARS-CoV-2 was found reactive. Patient was managed by the local protocol and had regression of mesenteric lymphadenopathy. Discussion: This is a first kind of case report where an adult patient having gastrointestinal COVID-19 infection presented with mesenteric lymphadenopathy only and named as the "Jammu and Kashmir sign (JK sign) in COVID-19 infection." Conclusion: Mesenteric lymphadenopathy in an adult with COVID-19 infection is very rare. This may be the only presenting sign in gastrointestinal COVID-19 infection.