COVID-19 and abdominal pain: a pediatric case report and a point of view in pediatric emergency medicine

We describe the case of a ten-year-old patient presenting with persistent high fever associated with continuous and worsening abdominal pain. Various hypotheses were performed during his diagnostic workup and an initial appendectomy was performed in the suspect of acute appendicitis. As his clinical picture deteriorated, the child was subsequently diagnosed and successfully treated as a case of MIS-C. The objective of this case report and brief review of abdominal pain in children throughout the age groups is to provide the emergency pediatrician with updated suggestions in diagnosing abdominal pain in children during the COVID-19 pandemic.PMID:34859877 | DOI:10.26355/eurrev_202111_27265
Source: Pharmacological Reviews - Category: Drugs & Pharmacology Authors: Source Type: research

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Ann R Coll Surg Engl. 2021 Dec 9. doi: 10.1308/rcsann.2021.0213. Online ahead of print.ABSTRACTINTRODUCTION: The COVID-19 pandemic has increased the risks of surgery and management of common surgical conditions has changed, with greater reliance on imaging and conservative management. The negative appendectomy rate (NAR) in the UK has previously remained high. The aim of this study was to quantify pandemic-related changes in the management of patients with suspected appendicitis, including the NAR.METHODS: A retrospective study was performed at a single high volume centre of consecutive patients aged over five years presen...
Source: Annals of the Royal College of Surgeons of England - Category: Surgery Authors: Source Type: research
J Surg Res. 2021 Jul 23;268:263-266. doi: 10.1016/j.jss.2021.07.008. Online ahead of print.ABSTRACTINTRODUCTION: Coronavirus Disease-19 (COVID-19) was declared a pandemic in March 2020. States issued stay-at-home orders and hospitals cancelled non-emergent surgeries. During this time, we anecdotally noticed more admissions for perforated appendicitis. Therefore, we hypothesized that during the months following the COVID-19 pandemic declaration, more children were presenting with perforated appendicitis.MATERIALS AND METHODS: This is a retrospective cohort study reviewing pediatric patients admitted at a single institution ...
Source: Cell Research - Category: Cytology Authors: Source Type: research
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