S2041 COVID-19 Associated With Esophageal Hypersensitivity After Hiatal Hernia Repair and Fundoplication: A Case Report
Abstract
INTRODUCTION: Coronavirus Disease 2019 (COVID-19) is caused by infection with the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Although COVID-19 primarily involves pulmonary symptoms, gastrointestinal (GI) symptoms can occur Herein, we describe a patient who developed symptoms of heartburn after anti-reflux surgery without evidence of surgical complications or improvement with medications The timing of both exposure to SARS-CoV-2 and symptom onset was helpful in making a diagnosis of COVID-19 associated esophageal hypersensitivity CASE DESCRIPTION/METHODS: A 41-year-old female with a history of gastroesophageal reflux disease (GERD) presented to the Emergency Department (ED) with septic arthritis of her right hand three weeks after undergoing hiatal hernia repair and Toupet fundoplication (Figure 1) She was treated with antibiotics and recovered well One week later, she presented to the ED with new onset heartburn Work-up was negative and she was discharged She was later notified that she had been exposed to COVID-19 during her hospitalization for septic arthritis, tested for COVID-19, and found to be positive Two weeks later, she reported worsening heartburn Review of her operative report showed no complications and her symptoms were attributed to post-operative esophageal inflammation After no improvement with anti-reflux medications, work-up with an upper GI series, an upper endoscopy, and a gastric emptying test was normal Two months later, she reported…
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