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Perioperative considerations for acute appendicitis in patients with COVID-19 infection: two case reportsopen access

Authors
Kim, In-KyeongKwag, Seung-JinKim, Han-GilJu, Young-TaeLee, Seung-JunPark, Tae-JinJeong, Sang-HoJung, Eun-JungLee, Jin-Kwon
Issue Date
Dec-2023
Publisher
Korean Society of Coloproctology
Keywords
Appendicitis; Case reports; COVID-19; Diagnosis; Perioperative care
Citation
Annals of Coloproctology, v.39, no.6, pp 521 - 525
Pages
5
Indexed
SCOPUS
ESCI
KCI
Journal Title
Annals of Coloproctology
Volume
39
Number
6
Start Page
521
End Page
525
URI
https://scholarworks.gnu.ac.kr/handle/sw.gnu/69358
DOI
10.3393/ac.2021.00647.0092
ISSN
2287-9714
2287-9722
Abstract
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. © 2023 Korean Society of Coloproctology.
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