IDCases (Jan 2020)

Acute abdomen -like-presentation associated with SARS-CoV-2 infection

  • Ashraf Omer Elamin Ahmed,
  • Sara F. Mohamed,
  • Ahmed O. Saleh,
  • Shaikha D. Al-Shokri,
  • Khalid Ahmed,
  • Mouhand F.H. Mohamed

Journal volume & issue
Vol. 21
p. e00895

Abstract

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As the cases of COVID-19 are flooding around the world, atypical presentations are being recognized, making the diagnosis challenging. Gastrointestinal symptoms and mild abdominal pain are common. However, severe abdominal pain associated with COVID-19 warranting surgical evaluation has been rarely described; recognizing such presentations and differentiating them from a surgical abdomen is critical to effectively and safely manage COVID-19 patients. Here we present a case of a middle-aged gentleman who developed features resembling secondary peritonitis. Eventually, he was found to have COVID-19 and was managed conservatively. In this report, we discuss his management course, and we explore pertinent relevant literature.

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