Open AccessSpecific Management of Patients with Acute Abdomen during the COVID-19 Pandemic: A Surgical Perspective from Germany
Author(s) -
Florian Kühn,
Matthias Klein,
Henning Laven,
Nikolaus Börner,
Tobias Weinberger,
Florian Streitparth,
Jens Werner,
Tobias S. Schiergens
Publication year - 2020
Publication title -
visceral medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.598
H-Index - 17
eISSN - 2297-475X
pISSN - 2297-4725
DOI - 10.1159/000509122
Subject(s) - medicine , concomitant , triage , covid-19 , acute abdomen , pandemic , intensive care medicine , emergency department , acute abdominal pain , abdominal pain , general surgery , emergency medicine , surgery , disease , psychiatry , infectious disease (medical specialty)
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.
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