key: cord-0900669-i60v9qvp authors: Ashcroft, J.; Hudson, V.E.; Davies, R.J. title: COVID-19 gastrointestinal symptoms mimicking surgical presentations date: 2020-06-24 journal: Ann Med Surg (Lond) DOI: 10.1016/j.amsu.2020.06.025 sha: 4cbea0250f8a0791f606b7aed8024aeb7d5a19d3 doc_id: 900669 cord_uid: i60v9qvp nan corresponding author) and declare: no support from any organization for the submitted work; no financial relationships with any organizations that might have an interest in the submitted work in the previous three years, no other relationships or activities that could appear to have influenced the submitted work. Contributorship statement JA, VEH, and RJD undertook conceptualisation of this article. JA and VEH equally drafted and revised the manuscript. RJD undertook critical review of the manuscript and guided revisions. RJD approved final manuscript for submission. All authors affirm that the manuscript is an honest, accurate, and transparent account of the case being reported and that no important aspects of the case have been omitted. Not required. None. We thank Dr. Tristan Barrett, Consultant Radiologist, Addenbrooke's Hospital, Cambridge, UK for his assistance in creating the computed tomography figure featured in this article. In 2020 the World Health Organization (WHO) declared COVID-19 caused by the severe acute respiratory syndrome coronavirus (SARS-CoV-2) a global emergency. 1 At the time of writing, there have been over 6 million confirmed cases and 350 thousand deaths in over 200 countries worldwide caused by COVID-19. 2 Internationally recognized symptoms of classical COVID-19 include fever and respiratory signs such as persistent cough and dyspnea on minimal exertion. 2 However, with the evolution of the pandemic an underestimated prevalence of gastrointestinal symptoms caused by COVID-19 has been identified. 2 Early reports from Wuhan, China described 2-10% of patients presenting with gastrointestinal symptoms such as diarrhea, reduced appetite, abdominal pain and vomiting, and notably 10% of patients describing nausea and diarrhea prior to, or independent of, respiratory symptoms. 2 Not commissioned, editor reviewed. The following additional information is required for submission. Please note that failure to respond to these questions/statements will mean your submission will be returned. If you have nothing to declare in any of these categories then this should be stated. None Please state whether Ethical Approval was given, by whom and the relevant Judgement's reference number Please enter the name of the registry and the unique identifying number of the study. You can register your research at http://www.researchregistry.com to obtain your UIN if you have not already registered your study. This is mandatory for human studies only. World Health Organization declares global emergency: A review of the 2019 novel coronavirus (COVID-19) Novelty in the gut: a systematic review and metaanalysis of the gastrointestinal manifestations of COVID-19 Please specify the contribution of each author to the paper, e.g. study design, data collections, data analysis, writing. Others, who have contributed in other ways should be listed as contributors.James Ashcroft contributed to the conceptualization, manuscript creation, and revision of this article, equally with Victoria Hudson.Victoria Hudson contributed to the conceptualization, manuscript creation, and revision of this article, equally with James Ashcroft. The Guarantor is the one or more people who accept full responsibility for the work and/or the conduct of the study, had access to the data, and controlled the decision to publish.