COVID -19 and Abdominal Pain, Report of 3 Negative Laparotomies
Iranian Journal of Emergency Medicine,
Vol. 7 No. 1 (2020),
The global spread of coronavirus 2019 (SARS-CoV-2) and various reports indicate a change in the symptoms caused by the virus and gastrointestinal symptoms becoming an important part of the diagnostic symptoms of the virus. The most common gastrointestinal symptoms include anorexia, nausea, vomiting, and abdominal pain. The probable cause of abdominal symptoms in these patients is the presence of the virus in the digestive system and stimulation of the immune system, followed by the release of inflammatory mediators leading to manifestation of symptoms in this part of the body, causing symptoms of peritoneal irritation. Due to the high physiological stress of surgery, deciding on surgery in patients infected with the virus, who have abdominal pain and a positive abdominal examination is a new challenge for physicians and medical staff. In this study, we introduce three patients with COVID-19 who underwent surgery due to abdominal pain and a positive abdominal examination for peritonitis but had normal findings in surgery, and surgery increased mortality.
How to Cite
. World Health Organization. January 22, . Novel coronavirus situation report -2. (Accessed on January, 2020. (Accessed on January 23, 2020).
Yang, Y., Lu, Q., Liu, M., Wang, Y., Zhang, A., Jalali, N., Dean, N., Longini, I., Halloran, M.E., Xu, B., et al. .. , Epidemiological and clinical features of the 2019 novel coronavirus outbreak in China. medRxiv, doi:, (2020).
Tian, Y., et al., gastrointestinal features in COVID‐19 and the possibility of faecal transmission. Alimentary pharmacology & therapeutics, 2020.
Wang, D., et al., Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus–infected pneumonia in Wuhan, China. Jama, 2020.
Gu, J., B. Han, and J. Wang, COVID-19: gastrointestinal manifestations and potential fecal–oral transmission. Gastroenterology, 2020.
Han, C., et al., Digestive Symptoms in COVID-19 Patients with Mild Disease Severity: Clinical Presentation, Stool Viral RNA Testing, and Outcomes. The American journal of gastroenterology, 2020.
Aminian, A., et al., COVID-19 Outbreak and Surgical Practice: Unexpected Fatality in Perioperative Period. Annals of Surgery, 9000. Publish Ahead of Print.
Repici, A., et al., Coronavirus (COVID-19) outbreak: what the department of endoscopy should know. Gastrointestinal endoscopy, 2020.
Poggiali, E., et al., Abdominal pain: a real challenge in novel COVID-19 infection. European Journal of Case Reports in Internal Medicine, 2020. 7(4).
Saeed, U., et al., Covid-19 may present with acute abdominal pain. The British Journal of Surgery, 2020.
Schmulson, M., F. Dávalos, and J. Berumen, Beware: Gastrointestinal symptoms can be a manifestation of COVID-19. Revista de Gastroenterología de México (English Edition), 2020.
Gao, Y., H. Xi, and L. Chen, Emergency Surgery in Suspected COVID-19 Patients with Acute Abdomen: Case Series and Perspectives. Annals of Surgery, 9000. Publish Ahead of Print.
Hanna, T.P., G.A. Evans, and C.M. Booth, Cancer, COVID-19 and the precautionary principle: prioritizing treatment during a global pandemic. Nature Reviews Clinical Oncology, 2020: p. 1-3.
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