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

Other Titles
Perioperative considerations for acute appendicitis in patients with COVID-19 infection: two case reports
Authors
Kim In-Kyeong곽승진Kim Han-GilJu Young-TaeLee Seung-JunPark TaejinJeong Sang-HoJung Eun JungLee Jin-Kwon
Issue Date
Dec-2023
Publisher
대한대장항문학회
Keywords
Appendicitis; COVID-19; Diagnosis; Perioperative care; Case reports
Citation
Annals of Coloproctolgy, v.39, no.6, pp 521 - 525
Pages
5
Indexed
SCOPUS
ESCI
KCI
Journal Title
Annals of Coloproctolgy
Volume
39
Number
6
Start Page
521
End Page
525
URI
https://scholarworks.gnu.ac.kr/handle/sw.gnu/69373
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.
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