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Published on: December 19, 2020
Acute abdomen -like-presentation associated with SARS-CoV-2 infection
Ashraf Omer Elamin Ahmed1, Sara F Mohamed1, Ahmed O Saleh1
1Medicine Department, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
Severe abdominal pain mimicking surgical emergencies is a rare but critical presentation of COVID-19. Early recognition and conservative management are key for these patients with coronavirus disease 2019.
Area of Science:
- Infectious Diseases
- Gastroenterology
- Surgical Abdomen
Background:
- The global surge in COVID-19 cases has highlighted diverse clinical manifestations.
- Gastrointestinal symptoms are frequently observed in patients with coronavirus disease 2019.
- Severe abdominal pain requiring surgical evaluation is an uncommon presentation of COVID-19.
Observation:
- A middle-aged male presented with acute severe abdominal pain suggestive of secondary peritonitis.
- Initial assessment raised concerns for a surgical abdomen, necessitating a differential diagnosis.
- Diagnostic workup revealed the patient was positive for COVID-19.
Findings:
- The patient's severe abdominal symptoms were attributed to COVID-19 infection.
- A conservative management approach was successfully employed, avoiding surgical intervention.
- This case underscores the importance of considering COVID-19 in patients with atypical abdominal presentations.
Implications:
- Accurate diagnosis of COVID-19 is crucial to prevent unnecessary surgeries.
- Understanding atypical presentations aids in the safe and effective management of coronavirus disease 2019 patients.
- This case contributes to the literature on surgical abdomen mimics in the context of COVID-19.
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