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Abstract
Literature describing patients with concomitant COVID-19 infection with acute appendicitis in pediatric patients is growing, and understanding the clinical picture of such patients is relevant in their treatment. We report 3 male children who were surgically treated for acute appendicitis and had concomitant SARS-CoV-2 infection. Our first patient was a 12-year-old male who presented with symptoms indicative of appendicitis but no respiratory symptoms associated with COVID-19 (eg cough, shortness of breath). Laboratory evaluation revealed leukopenia and an elevated C-reactive protein; imaging was consistent with acute appendicitis and an acute pulmonary viral infection. Though he lacked diffuse peritonitis on physical examination or a leukocytosis, he was found to have perforated appendicitis in the operating room. Our second patient was another 12-year-old male whose suspected appendicitis was confirmed via ultrasound and surgery. He tested positive for COVID-19 1 month prior and he continued to test positive for infection on admission without any associated respiratory symptoms. Our third patient was a 13-year-old patient who also presented with symptomatic acute appendicitis without apparent COVID-19 manifestations. These cases provide further examples of pediatric patients with concomitant acute appendicitis and COVID-19 infection, namely an unusual presentation of perforated appendicitis with asymptomatic COVID-19-related pulmonary infection and the more common acute appendicitis with asymptomatic COVID-19 infection.
Document Type
Article
Publication Date
6-28-2021
Digital Object Identifier (DOI)
https://doi.org/10.1016/j.radcr.2021.06.067
Repository Citation
Acevedo, Maximo J.; Steffey, Dylan; Dillon, Johanne E.; Lee, James T.; and Worhunsky, David J., "Concurrent COVID-19 Infection in Children with Acute Appendicitis: A Report of Three Cases" (2021). Radiology Faculty Publications. 35.
https://uknowledge.uky.edu/radiology_facpub/35
Supplementary materials
Notes/Citation Information
Published in Radiology Case Reports, v. 16, issue 10.
© 2021 The Authors
This is an open access article under the CC BY-NC-ND license (https://creativecommons.org/licenses/by-nc-nd/4.0/).