Intestine perforation by an accidental ingested SARS-CoV-2 nasopharyngeal swab; a case report

Versluijs, Yvonne; Keekstra, Niels; Holman, Fabian A.

doi:10.1016/j.ijscr.2022.107378

Cited by 2 publications

(2 citation statements)

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“…Foreign body retention in the nasal cavity and GIT was reported in 15 and 8 patients, respectively. In all of them, the foreign bodies were successfully removed, apart from one patient, with a history of multiple surgeries in the GIT, in whom swallowing of the swab led to intestinal perforation 19 . Specimen collection swabs have a breakpoint mechanism to prevent contamination when transferring the shaft into the container, which makes them susceptible to accidental rupture 20 .…”

Section: Discussionmentioning

confidence: 99%

Sinonasal Lobular Capillary Hemangioma After Continuous Self-tests for COVID-19: A Case Report and Review of the Literature

FOUNTARLIS¹,

LACHANAS²,

ZACHAROULI³

et al. 2022

MMJ

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Sinonasal lobular capillary hemangiomas (LCH) are rare benign vascular lesions commonly arising from the nasal septum. Nasopharyngeal, nasal mid-turbinate, and anterior nasal swabbing is the preferred method of screening for coronavirus disease-2019 (COVID-19). Herein, we present a case of a sinonasal LCH in a child after continuous self-tests for COVID-19, with an anterior nasal swab. The child presented with a well-defined red mass in the anterior part of the nasal septum, which was removed endoscopically. Histopathology revealed a LCH. This is the first report of a complication other than epistaxis with the use of an anterior nasal swab. Our literature review identified 32 studies reporting complications of COVID-19 screening. Cerebrospinal fluid leaks and foreign body retention are the most common ones. A proper specimen collection technique and a quick patient history with an emphasis on risk factors are the best practices to prevent complications from COVID-19 screening.

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Section: Discussionmentioning

confidence: 99%

Sinonasal Lobular Capillary Hemangioma After Continuous Self-tests for COVID-19: A Case Report and Review of the Literature

FOUNTARLIS¹,

LACHANAS²,

ZACHAROULI³

et al. 2022

MMJ

View full text Add to dashboard Cite

show abstract

“…However, the length of the swab made it difficult. Nasal swabs can even perforate the sigmoid colon of adults ( 5 ). If nasal swab with a breakpoint is ingested, endoscopic removal should be attempted.…”

mentioning

confidence: 99%