Non-operative management of acute appendicitis in a pediatric patient with concomitant COVID-19 infection

Autor: Brian A. Jones, Bethany J. Slater
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Journal of Pediatric Surgery Case Reports, Vol 59, Iss , Pp 101512- (2020)
Druh dokumentu: article
ISSN: 2213-5766
DOI: 10.1016/j.epsc.2020.101512
Popis: Introduction: In late December 2019, reports emerged from Wuhan, China of a novel corovonavirus SARS-CoV-2, which caused severe acute respiratory distress syndrome referred to as COVID-19. As the virus spread, reports of severe perioperative complications, including fatalities, began to emerge in the literature. We present a case of a previously healthy patient who developed classic symptoms of appendicitis. The patient was also found to be positive for COVID-19. Given the risks to both the patient and surgical team, we elected to pursue a non-operative management strategy for this patient with appendicitis. Materials and methods: A 13 year old female with COVID-19 presented with a day of right lower quadrant abdominal pain. A computerized tomography (CT) scan diagnosed uncomplicated appendicitis. The patient was successfully treated non-operatively with antibiotics and discharged home. Conclusion: To our knowledge, this case illustrates the first report of a pediatric patient with concomitant appendicitis and COVID-19 infection. We have been able to utilize a non-operative management strategy to effectively treat the patient's acute appendicitis, while protecting her from the risks of undergoing a general anesthetic as well as the operative team. We hope this report can provide others with a potential management strategy for similar patients.
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