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Specific Management of Patients with Acute Abdomen during the COVID-19 Pandemic: A Surgical Perspective from Germany

During the current COVID-19 pandemic, the triage, assessment, and management of patients presenting to the emergency department with critical conditions has become ­challenging. The clinical features of COVID-19 are heterogeneous and subtle in many cases. They may easily be overlooked in the case of...

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Detalles Bibliográficos
Autores principales: Kühn, Florian, Klein, Matthias, Laven, Henning, Börner, Nikolaus, Weinberger, Tobias, Streitparth, Florian, Werner, Jens, Schiergens, Tobias S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger GmbH 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7360493/
https://www.ncbi.nlm.nih.gov/pubmed/33173797
http://dx.doi.org/10.1159/000509122
Descripción
Sumario:During the current COVID-19 pandemic, the triage, assessment, and management of patients presenting to the emergency department with critical conditions has become ­challenging. The clinical features of COVID-19 are heterogeneous and subtle in many cases. They may easily be overlooked in the case of other acute diseases. Gastrointestinal symptoms are common in patients with COVID-19 as SARS-CoV-2 is able to enter gastrointestinal epithelial cells. However, these complaints can also be caused by a COVID-19-independent concomitant abdominal pathology. Therefore, patients with acute abdominal pain and fever need to be assessed very thoroughly. Based on a clinical case, we present our approach of managing emergency patients with acute abdomen and concomitant suspicion of ­COVID-19.