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Article: Abdominal pain in children with COVID-19.

Haithem, H A / Sadik, H K / Hayder, A J

Khirurgiia

2022  , Issue 10, Page(s) 58–62

Abstract: Objective: To analyze clinical features, diagnosis and treatment of pediatric patients referred to our pediatric surgery center with abdominal pain as a main manifestation of COVID-19.: Material and methods: We retrospectively reviewed 56 patients ... ...

Title translation Abdominal'naya bol' u detei s COVID-19.
Abstract Objective: To analyze clinical features, diagnosis and treatment of pediatric patients referred to our pediatric surgery center with abdominal pain as a main manifestation of COVID-19.
Material and methods: We retrospectively reviewed 56 patients with abdominal pain associated with SARS-CoV-2 infection at the Basrah Children Specialty Hospital between June 2020 and December 2021. We collected data including demographic data, symptoms, imaging data, laboratory findings, treatments, and clinical outcomes.
Results: Fifty-six patients (48 male and 8 female) with a median age of 9 years were analyzed. All patients had abdominal pain. Fifty-two patients complained of vomiting, 48 patients with fever, 36 patients with cough, and 20 patients with shortness of breath. Twenty patients were diagnosed with acute appendicitis, two of them had appendicular abscess. Mesenteric lymphadenitis was found in 12 patients, obstructed inguinal hernia in 4 patients, and epididymo-orchitis in two patients. Ten patients required surgical intervention.
Conclusion: COVID-19 should be suspected in any child presenting with acute abdominal pain. In the era of COVID-19, all cases of abdominal pain in children including those with acute appendicitis are better to be treated conservatively.
MeSH term(s) Abdominal Pain/diagnosis ; Abdominal Pain/etiology ; Abdominal Pain/therapy ; Acute Disease ; Appendicitis/complications ; Appendicitis/diagnosis ; Appendicitis/surgery ; COVID-19/complications ; COVID-19/diagnosis ; Child ; Female ; Humans ; Male ; Retrospective Studies ; SARS-CoV-2
Language English
Publishing date 2022-09-01
Publishing country Russia (Federation)
Document type Journal Article
ZDB-ID 419230-8
ISSN 2309-5628 ; 0023-1207
ISSN (online) 2309-5628
ISSN 0023-1207
DOI 10.17116/hirurgia202210158
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