Abstract

CANON-MURCIA, Jaime Andrés et al. Acute surgical abdomen related to multisystem inflamatory syndrome associated with covid-19 in pediatrics. Medicas UIS [online]. 2022, vol.35, n.2, e503.  Epub Dec 04, 2022. ISSN 0121-0319.  https://doi.org/10.18273/revmed.v35n2-2022009.

In the context of the disease caused by the new coronavirus SARS-CoV-2, an unusual condition called multisystem inflammatory syndrome in children associated with COVID-19 has been described, and its most common symptoms are gastrointestinal. Severe acute abdominal pain occurs in up to 60% of cases, requiring mainly a differential diagnosis with acute appendicitis. It is described the clinical case of an adolescent who presented abdominal pain, bloating, fever and diarrhea, with very high C-reactive protein and tomographic findings compatible with acute appendicitis, for which he underwent surgery. He was later diagnosed with the disease, after consulting again with fever and abdominal pain. Acute appendicitis related to this syndrome is associated with ischemia due to intestinal vasculitis and is a life-threatening immunological complication due to the risk of intestinal perforation.

Keywords : COVID-19. Pediatric multisystem inflammatory disease; COVID-19 related. Abdomen; acute. Appendicitis.

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