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Acute abdomen in post- Covid 19 multisystem inflammatory syndrome in children. A case report

Piergaetano Campanella, Gennaro Papa, Francesca Zito

    Annali Italiani Di Chirurgia
    |November 9, 2022
    PubMed

    Insights

    Multisystem inflammatory syndrome in children (MIS-C) is a rare complication of coronavirus disease-2019 (COVID-19). This case highlights the importance of surgical exploration in children presenting with acute abdomen and gastrointestinal symptoms post-COVID-19.

    Area of Science:

    • Pediatrics
    • Infectious Diseases
    • Critical Care Medicine

    Background:

    • Coronavirus disease-2019 (COVID-19) can lead to rare complications in children.
    • Multisystem inflammatory syndrome in children (MIS-C) is a significant post-infectious sequela.
    • Gastrointestinal symptoms are increasingly recognized in pediatric COVID-19 cases.

    Observation:

    • A 9-year-old boy presented with symptoms suggestive of acute abdomen.
    • The patient had a history of COVID-19 infection 25 days prior, with recent onset of fever.
    • Diagnostic workup included physical examination, laboratory tests, and ultimately, laparoscopic surgical exploration.

    Findings:

    • Surgical findings revealed reactive lymphogranular hyperplasia.
    • Postoperatively, abdominal symptoms resolved, but the patient developed erythema and cardiovascular/neurological issues.
    • The final diagnosis was MIS-C, with the patient recovering over 14 days.

    Implications:

    • This case highlights the importance of considering MIS-C in pediatric patients with acute abdomen and a history of COVID-19.
    • Surgical exploration may be necessary to rule out other conditions and facilitate MIS-C diagnosis.
    • Prompt diagnosis and treatment of MIS-C are essential to prevent severe complications.
    Abstract

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