FIBMS Pediatric Surgery, Al-Zahraa College of Medicine, University of Basrah, Iraq.
FIBMS Pediatric Surgery, Basrah Children Specialty Hospital, Basrah, Iraq.
Khirurgiia (Mosk). 2022(10):58-62. doi: 10.17116/hirurgia202210158.
To analyze clinical features, diagnosis and treatment of pediatric patients referred to our pediatric surgery center with abdominal pain as a main manifestation of COVID-19.
We retrospectively reviewed 56 patients with abdominal pain associated with SARS-CoV-2 infection at the Basrah Children Specialty Hospital between June 2020 and December 2021. We collected data including demographic data, symptoms, imaging data, laboratory findings, treatments, and clinical outcomes.
Fifty-six patients (48 male and 8 female) with a median age of 9 years were analyzed. All patients had abdominal pain. Fifty-two patients complained of vomiting, 48 patients with fever, 36 patients with cough, and 20 patients with shortness of breath. Twenty patients were diagnosed with acute appendicitis, two of them had appendicular abscess. Mesenteric lymphadenitis was found in 12 patients, obstructed inguinal hernia in 4 patients, and epididymo-orchitis in two patients. Ten patients required surgical intervention.
COVID-19 should be suspected in any child presenting with acute abdominal pain. In the era of COVID-19, all cases of abdominal pain in children including those with acute appendicitis are better to be treated conservatively.
分析以腹痛为主要表现的 COVID-19 患儿转诊至我院小儿外科中心的临床特征、诊断和治疗方法。
我们回顾性分析了 2020 年 6 月至 2021 年 12 月在巴士拉儿童医院就诊的 56 例 SARS-CoV-2 感染相关性腹痛患儿的临床资料。收集的资料包括人口统计学数据、症状、影像学资料、实验室检查结果、治疗方法和临床转归。
56 例患儿（男 48 例，女 8 例），年龄中位数为 9 岁。所有患儿均有腹痛。52 例患儿诉呕吐，48 例患儿发热，36 例患儿咳嗽，20 例患儿呼吸困难。20 例患儿诊断为急性阑尾炎，其中 2 例合并阑尾脓肿。12 例患儿为肠系膜淋巴结炎，4 例患儿为腹股沟嵌顿疝，2 例患儿为附睾睾丸炎。10 例患儿需要手术干预。
任何出现急性腹痛的儿童都应怀疑 COVID-19。在 COVID-19 时代，包括急性阑尾炎在内的所有儿童腹痛病例最好采用保守治疗。
