Background; Coronavirus disease-19 (COVID-19) is an infectious respiratory disease. The first confirmed case of 2019-nCoV infection in Albania was reported in Tirana on 08 March 2020, when a patient and his adult son who had come from Florence, Italy tested positive. Patients with COVID-19 can be presented with a series of signs and symptoms. Acute abdomen as a presentation of COVID-19 is rare. The diagnosis of COVID-19 should be suspected and investigated in every case of acute abdomen.
Case presentation: We report a case of a 42-year-old male who presented with features of acute appendicitis. SARS-CoV-2 polymerase chain reaction test result was positive for COVID-19. Abdominal ultrasonography and his computed tomography of the chest and abdomen showed a perforated appendix and no infiltrates or abnormalities of COVID-19. The diagnosis of our case was appendicitis with COVID-19 without pneumonia. He was admitted and treated with antibiotic therapy and supportive care. He had an improvement in his health condition which made it possible to leave the hospital on the third day of hospitalization.
Conclusion: Based on our clinical case and literature data, we suggest that clinicians should suspect the diagnosis of acute appendicitis in patients with COVID 19. So the case of acute abdomen pain must be completed with a SARS-CoV-2 test. Therefore we recommend additional studies to reinforce the idea of linking SARS COV 2 infection with acute appendicitis.
World Health Organization. Novel coronavirus - China. 2020. (https://www.who.int/csr/don/12-january-2020-novel-coronavirus-china/en/).
"Ministria e Shëndetësisë: Konfirmohen dy rastet e para me koronavirusin e ri" (in Albanian). Ministry of Health and Social Protection. 9 March 2020. Retrieved 3 August 2020.
Nobel YR, Phipps M, Zucker J, et al. Gastrointestinal symptoms and coronavirus disease 2019: a case-control study from the United States. Gastroenterology. 2020; 159:373–375
Kiran Malbul, Srijana Katwal, Swojay Maharjan et al. Appendicitis as a presentation of COVID-19: A case report. Ann Med Surg (Lond), 2021 Sep; 69: 102719. doi: 10.1016/j.amsu.2021.102719.
Abdalhadi A., Alkhatib M., Mismar A.Y., Awouda W., Albarqouni L. Can COVID 19 present like appendicitis? ID cases. 2020;21 doi: 10.1016/j.idcr.2020.e00860.
K. Suwanwongse, N. Shabarek. Pseudo-appendicitis in an adolescent with COVID-19. Cureus, (2020). http://dx.doi.org/10.7759/cureus.9394.
Charlsea Prichard, Matthew Canning, Kindra Mc William-Ross et al. Case series of acute appendicitis association with SARS-CoV-2 infection. BMC Infectious Diseases (2021) 21:217 https://doi.org/10.1186/s12879-021-05909-y.
Ashraf Omer Elamin Ahmed, Sara F. Mohamed, Ahmed O. Saleh et al. Acute abdomen-like-presentation associated with SARS-CoV-2 infection. ID Cases. Volume 21, 2020, e00895. https://doi.org/10.1016/j.idcr.2020.e00895Get rights and content.
Ruth Blanco-Colino, Ramon Vilallonga, Rocío Martín et al. Suspected Acute Abdomen as an Extrapulmonary Manifestation of Covid-19 Infection. Cirugía Española (English Edition) Volume 98, Issue 5, May 2020, Pages 295-296. https://doi.org/10.1016/j.cireng.2020.04.014
Spinelli A., Pellino G. COVID-19 pandemic: perspectives on an unfolding crisis. Br. J. Surg. 2020;107(7):785–787. doi: 10.1002/bjs.11627.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.