Recurrent appendicitis following successful drainage of appendicular abscess in adult without interval appendectomy during COVID-19. Prospective cohort study

Habeeb, Tamer A.A.M.; Hussain, Abdulzahra; Schlottmann, Francisco; Kermansaravi, Mohammad; Aiolfi, Alberto; Matić, Ivan; Abdelazez, Osama; Negm, Said; Baghdadi, Muhammad Ali; Yassin, Marwa A.; Sallam, Ahmed M.; Mohammad, Hatem; Habib, Fawzia; Abdelhamid, M. I. E.; Amin, Mohamed Afizal Mohamed

doi:10.1016/j.ijsu.2021.106200

Cited by 5 publications

(1 citation statement)

References 26 publications

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“…According to our study, acute appendicitis is the most frequently encountered surgical cause of acute abdomen (42.4%). Our previous study confirmed that appendicitis was more severe in the COVID era (20), possibly due to appendicular artery thrombosis or a delay in diagnosis. We found five cases that revealed negative macroscopic appendicitis during exploration.…”

Section: Results Resultssupporting

confidence: 70%

The Commonest Medical, Surgical, and Oncological Causes of Acute Abdomen in Adults with COVID-19. A prospective Observational Study

Shaker¹,

Habeeb²,

Wasefy³

et al. 2022

SGO

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Objectives: This study sought to determine the commonest causes of acute abdominal pain (medical, surgical, and oncological) during the COVID-19 pandemic. Methods: From May 1, 2020, to February 28, 2022, 910 adult patients > 18 years of age of both sexes were admitted to the emergency department or already admitted but complaining of an acute abdomen and diagnosed with COVID-19. Results: The mean age of the studied group was 48.13±11.97 years, with male predominance (66%). Medical causes of the acute abdomen were in 34% of cases, and 66% were surgical causes. Gastric causes of the acute abdomen were the most common medical causes. Referred pain from COVID-19 pneumonia was the cause of abdominal pain in 20.8% of cases. Acute appendicitis was the commonest surgical cause of acute abdomen (42.4%), mostly Grade V, followed by acute cholecystitis (11%) and biliary colic (9.8%). Acute pancreatitis was the cause in 12.7% of cases, and its causes were mainly idiopathic (48.7%). Conclusions: Surgical causes of acute abdominal pain were more common than medical causes. The commonest medical causes of the acute abdomen during COVID-19 were gastric causes, while acute appendicitis, gallbladder diseases, and intestinal ischemia were the commonest surgical causes. Idiopathic acute pancreatitis was more common than gallstone pancreatitis, and most cases were mild. Surgery is the most common cause of death from the acute abdomen, followed by respiratory failure caused by COVID-19 and then medical causes of acute abdomen. Trial registration: It was approved by the institutional review board (IRB) for all parts of this study by ZUMEC 152020-23.Clinical trial registration: NCT05295251.Retrospective registered.

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Section: Results Resultssupporting

confidence: 70%