Unusual presentation of coronavirus diseases 2019 (COVID-19): two cases of acute abdomen.

Main Article Content

Josephine Nsaful
Dr Florence Dedey
Dr David Olayiwola
Dr Benjamin Fenu
Prof. Clegg-Lamptey

Abstract

Two cases of acute abdomen presented as a “surgical abdomen”, one had a negative laparotomy and negative PCR test, the other did not have surgery and tested positive on PCR testing. Both were incidentally diagnosed with COVID-19 pneumonia on chest CT scan and managed accordingly. It is unclear whether reported gastrointestinal manifestations are a direct causal effect of the virus in the GI tract. Surgeons should be aware that COVID-19 can present as a “surgical abdomen” which may lead to negative laparotomies

Article Details

How to Cite
Nsaful, J., Dedey, F., Olayiwola, D., Fenu, B., & Clegg-Lamptey, J. N. (2021). Unusual presentation of coronavirus diseases 2019 (COVID-19): two cases of acute abdomen. Health Sciences Investigations (HSI) Journal, 2(2), 277-280. https://doi.org/10.46829/hsijournal.2021.12.2.2.277-280
Section
Case Report

References

1. Event background COVID-19. (2020) European Centre for Disease Prevention and Control. Available from: https://www.ecdc.europa.eu/en/novel-coronavirus/event-background-2019
2. Press Releases | COVID-19 | Ghana (2020). Available from: https://ghanahealthservice.org/covid19/press-releases.php
3. Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. (2020) Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus–Infected Pneumonia in Wuhan, China. JAMA. 17;323(11):1061–9.
4. Lin L, Jiang X, Zhang Z, Huang S, Zhang Z, Fang Z, et al. (2020) Gastrointestinal symptoms of 95 cases with SARS-CoV-2 infection. Gut. 69(6):997–1001.
5. Pan L, Mu M, Yang P, Sun Y, Wang R, Yan J, et al. (2020) Clinical Characteristics of COVID-19 Patients With Digestive Symptoms in Hubei, China: A Descriptive, Cross-Sectional, Multicenter Study. Am J Gastroenterol. 115(5):766–73.
6. Almeida JFM de, Chehter EZ. (2020) COVID-19 and the gastrointestinal tract: what do we already know? Einstein São Paulo. 18:eRW5909.
7. Xiao F, Tang M, Zheng X, Liu Y, Li X, Shan H. (2020) Evidence for Gastrointestinal Infection of SARS-CoV-2. Gastroenterology. 158(6):1831-1833.e3.
8. Mönkemüller K, Fry LC, Rickes S. Covid-19, Coronavirus, SARS-CoV-2 and the small bowel. REV ESP ENFERM DIG. :6.
9. Amaral LTW, Brito VM, Beraldo GL, Fonseca EKUN, Yokoo P, Talans A, et al. (2020) Abdominal symptoms as initial manifestation of COVID-19: a case series. Einstein São Paulo. 9;18:eRC5831.
10. Corrêa Neto IJF, Viana KF, Silva MBS da, Silva LM da, Oliveira G de, Cecchini AR da S, et al. (2020) Perforated acute abdomen in a patient with COVID-19: an atypical manifestation of the disease. J Coloproctology Rio Jan.;40(3):269–72.
11. Li K, Wu J, Wu F, Guo D, Chen L, Fang Z, et al. (2020) The Clinical and Chest CT Features Associated With Severe and Critical COVID-19 Pneumonia. Invest Radiol [Internet]. [cited 2021 Mar 7]; Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7147273/
12. Li L, Qin L, Xu Z, Yin Y, Wang X, Kong B, et al. (2020) Using Artificial Intelligence to Detect COVID-19 and Community-acquired Pneumonia Based on Pulmonary CT: Evaluation of the Diagnostic Accuracy. Radiology. 296(2):E65–71.
13. D. Sarkodie B, B. Mensah Y. (2020) CT scan chest findings in symptomatic COVID-19 patients: a reliable alternative for diagnosis. Ghana Med J. 31;54(4s):97–9.
14. Asare-Boateng K, B. Mensah Y, Mensah NA, Oliver-Commey J, Oduro-Mensah E. A (2020) review of chest radiographic patterns in mild to moderate novel corona virus disease 2019 at an urban hospital in Ghana. Ghana Med J. 31;54(4s):46–51.
15. Galanopoulos M, Gkeros F, Doukatas A, Karianakis G, Pontas C, Tsoukalas N, et al. (2020) COVID-19 pandemic: Pathophysiology and manifestations from the gastrointestinal tract. World J Gastroenterol. 21;26(31):4579–88.