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We report considerations related with surgery through 2 cases of acute apendicitis with COVID-19 infection. In November and December 2020, two patients infected with COVID-19 developed acute apendicitis and underwent emergency surgery. In case 1, an 84-year-old woman was asymptomatic and diagnosed with acute apendicitis on the 20th day of infection. She was discharged after surgery without complication. In contrast, case 2 was a 69-year-old male patient with pneumonia treated with antibiotics, steroids and remdesivir. After surgery, he was hospitalized for a long duration due to persistent pneumonia and wound complications. We should perform appendectomy in well-established negative pressure operating rooms, personal protective equipment, and protocols. Since the physical examination and blood tests were limited, image examination like computed tomography scan should be considered if acute apendicitis is suspected. If the patient has pneumonia before surgery, it can get worse after surgery, and complications such as wound infections can occur.
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http://dx.doi.org/10.3393/ac.2021.00647.0092 | DOI Listing |
Rev Fac Cien Med Univ Nac Cordoba
June 2025
Objective: To describe a case of acute appendicitis with an atypical presentation, complicated by hemoperitoneum, retroperitoneal hematoma, and pylephlebitis.
Case Report: A 55-year-old female patient without relevant history presented with 8 days of epigastric and right hypochondrial pain, fever, dark urine, and vasovagal syncope. Laboratory tests showed anemia, thrombocytopenia, liver dysfunction, and signs of sepsis.
Rev Gastroenterol Mex (Engl Ed)
June 2025
Facultad de Medicina, Universidad de La Sabana, Chía, Colombia; Departamento de Epidemiología, Universidad de La Sabana, Chía, Colombia.
Introduction And Aims: Acute appendicitis stands out as one of the most frequent surgically-treated diseases. Risk scales for acute appendicitis, such as the Alvarado and AIR scoring systems, show good diagnostic yield. The aim of our study was to compare the predictive capacity between the Alvarado and Air scores in the diagnosis of acute appendicitis.
View Article and Find Full Text PDFCir Esp (Engl Ed)
July 2025
Servicio de Cirugía, Hospital Clínico Universitario Virgen de la Victoria, Instituto Biomédico de Investigación de Málaga (IBIMA), Facultad de Medicina, Universidad de Málaga, Málaga, Spain.
Background: Acute appendicitis is the most common abdominal surgical emergency worldwide. Researchers from various countries have evaluated the impact of the COVID-19 pandemic on its diagnosis and treatment, as well as a possible change in its management, such as outpatient treatment. The objective of this study was to describe the characteristics of acute appendicitis treated during the COVID-19 State of Emergency (SOE) and to assess whether it could be included in an ambulatory surgery program.
View Article and Find Full Text PDFClin Nucl Med
April 2025
Department of Nuclear Medicine, SBU Trabzon Kanuni Training and Research Hospital, Ortahisar, Trabzon, Turkey.
Plastron appendicitis is a rare complication of acute appendicitis, characterized by localized and encapsulated inflammation within the surrounding tissues. It accounts for ∼4%-5% of all acute appendicitis cases. The mass-like appearance of plastron appendicitis can mimic various malignant pathologies, particularly those of the adnexal region.
View Article and Find Full Text PDFCir Cir
April 2025
Department of Surgery, Salmaniya Medical Complex, Manama, Bahrain.
Objectives: The objective of the study was to assess the role of complete blood count (CBC) parameters in the detection of acute appendicitis (AA) severity in children and adults.
Method: This is a retrospective analytic cross-sectional study on cases operated for AA between June 1, 2020, and February 28, 2021, in Salmaniya Medical Complex, Bahrain. Patients of all ages and genders were included in the study.