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以急性腹痛为表现的新型冠状病毒肺炎:病例系列

COVID-19 presenting as acute adominal pain: A case series.

作者信息

Balakrishana Arjun Mallasandra, Usmani Saad H, Mahto Subodh Kumar, Gupta Kritika, Kant Nishi, Pasricha Nitasha

机构信息

Department of Medicine, SSIMSRC, Davangere, Karnataka, India.

Department of Medicine, ABVIMS, DR.RML Hospital, New Delhi, India.

出版信息

J Family Med Prim Care. 2022 Aug;11(8):4861-4863. doi: 10.4103/jfmpc.jfmpc_2353_21. Epub 2022 Aug 30.

DOI:10.4103/jfmpc.jfmpc_2353_21
PMID:36353042
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9638605/
Abstract

The coronavirus infection presents primarily as a respiratory illness, however, extra-pulmonary manifestations are known to occur, including gastrointestinal manifestations. Hereby, we report three cases of the COVID-19 infection who presented with acute-onset abdominal pain during illness. All three patients had respiratory symptoms suggestive of COVID-19 and abdominal symptoms consistent with acute pancreatitis, acute cholecystitis, and acute appendicitis. All three patients improved in terms of acute abdominal pain; however, the overall clinical course, the three illnesses were variable because of differences in underlying organ involment and pathophysiology.

摘要

冠状病毒感染主要表现为呼吸系统疾病,然而,已知会出现肺外表现,包括胃肠道表现。在此,我们报告3例新型冠状病毒肺炎(COVID-19)感染患者,他们在患病期间出现急性腹痛。所有3例患者均有提示COVID-19的呼吸道症状以及与急性胰腺炎、急性胆囊炎和急性阑尾炎相符的腹部症状。所有3例患者的急性腹痛均有改善;然而,由于潜在器官受累情况和病理生理学的差异,这三种疾病的总体临床病程有所不同。

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本文引用的文献

1
Clinical manifestations of COVID-19 in the general population: systematic review.普通人群中 COVID-19 的临床表现:系统评价。
Wien Klin Wochenschr. 2021 Apr;133(7-8):377-382. doi: 10.1007/s00508-020-01760-4. Epub 2020 Nov 26.
2
COVID-19: a complex multisystem disorder.新型冠状病毒肺炎:一种复杂的多系统疾病。
Br J Anaesth. 2020 Sep;125(3):238-242. doi: 10.1016/j.bja.2020.06.013. Epub 2020 Jun 20.
3
COVID-19 with acute cholecystitis: a case report.COVID-19 合并急性胆囊炎:病例报告。
BMC Infect Dis. 2020 Jun 22;20(1):437. doi: 10.1186/s12879-020-05164-7.
4
Pancreatic Injury Patterns in Patients With Coronavirus Disease 19 Pneumonia.新型冠状病毒肺炎患者的胰腺损伤模式
Gastroenterology. 2020 Jul;159(1):367-370. doi: 10.1053/j.gastro.2020.03.055. Epub 2020 Apr 1.
5
Association of viral infection and appendicitis.病毒感染与阑尾炎的关联。
Arch Surg. 2010 Jan;145(1):63-71. doi: 10.1001/archsurg.2009.250.