Management of acute appendicitis in the COVID era: A Case Study

Francesca Back
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Abstract

Acute appendicitis is a common surgical presentation usually managed with laparoscopic appendicectomy. There has been long-standing debate as to whether conservative management of acute appendicitis could provide a superior alternative to surgical management. COVID-19 infection emerged in December 2019 and was labelled as a pandemic by the World Health Organisation in March 2020. Re-structuring as a result of the pandemic forced rapid changes in guidelines from recommending surgical management to advocating for medical management in all cases of uncomplicated acute appendicitis. Mr C had a delayed presentation of complicated acute appendicitis as a result of anxiety about being in a clinical environment during the pandemic. This was successfully managed with surgery and a 4-day inpatient stay. This case report evaluates the best approach for the treatment of acute appendicitis, evaluates whether a change in management was appropriate in the case of a pandemic and details how to avoid more cases of delayed and complex presentation as a result of COVID-19.
COVID时代急性阑尾炎的管理:个案研究
急性阑尾炎是一种常见的手术表现,通常采用腹腔镜阑尾切除术。对于急性阑尾炎的保守治疗是否优于手术治疗一直存在争议。COVID-19感染于2019年12月出现,并于2020年3月被世界卫生组织列为大流行。大流行导致的结构调整迫使指南迅速发生变化,从建议对所有无并发症的急性阑尾炎进行手术治疗转变为倡导对所有病例进行医疗治疗。由于担心在大流行期间处于临床环境,C先生延迟出现了复杂的急性阑尾炎。手术和4天的住院治疗成功地解决了这一问题。本病例报告评估了治疗急性阑尾炎的最佳方法,评估了在大流行情况下改变管理方法是否合适,并详细介绍了如何避免因COVID-19而出现更多延迟和复杂的病例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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