COVID-19 gastrointestinal symptoms mimicking surgical presentations
Abstract
n 2020 the World Health Organization (WHO) declared COVID-19
caused by the severe acute respiratory syndrome coronavirus (SARSCoV-2) a global emergency [1]. At the time of writing, there have been
over 6 million confirmed cases and 350 thousand deaths in over 200
countries worldwide caused by COVID-19 [2]. Internationally recognized symptoms of classical COVID-19 include fever and respiratory
signs such as persistent cough and dyspnea on minimal exertion [2].
However, with the evolution of the pandemic an underestimated prevalence of gastrointestinal symptoms caused by COVID-19 has been
identified [2]. Early reports from Wuhan, China described 2–10% of
patients presenting with gastrointestinal symptoms such as diarrhea,
reduced appetite, abdominal pain and vomiting, and notably 10% of
patients describing nausea and diarrhea prior to, or independent of,
respiratory symptoms [2]. A recent single center retrospective case
series of 76 patients presenting with abdominal pain during the COVID19 pandemic identified nine patients with confirmed COVID-19 infection in the absence of respiratory symptoms [3]. In this cohort abdominal computed tomography (CT) scans were reported as either
normal or with clear surgical diagnoses identified (ileus, cholecystitis,
and appendicitis)
Palabras clave
COVID-19; Coronavirus; SARS-CoV-2; Abdominal pain; AppendicitisLink to resource
https://doi.org/10.1016/j.amsu.2020.06.025Collections
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