key: cord-1000102-j49fjkt8
authors: Pautrat, Karine; Chergui, Naïma
title: SARS-CoV-2 infection may result in appendicular syndrome: Chest CT scan before appendectomy
date: 2020-04-15
journal: J Visc Surg
DOI: 10.1016/j.jviscsurg.2020.04.007
sha: b2db2df6a0bf39dd8af221fa943181045ef3690c
doc_id: 1000102
cord_uid: j49fjkt8

Abstract The initial clinical presentation of CoronaVirus Disease 2019 may be appendicular syndrome. An abdominal CT scan ruled out a diagnosis of appendicitis and a chest CT scan yielded a diagnosis of SARS-CoV-2 infection. CT scan is required before considering emergency surgery for acute appendicitis.

The initial clinical presentation of CoronaVirus Disease 2019 may be appendicular syndrome.

An abdominal CT scan ruled out a diagnosis of appendicitis and a chest CT scan yielded a diagnosis of SARS-CoV-2 infection. CT scan is required before considering emergency surgery for acute appendicitis. CT-scan was called for in order to diagnose acute appendicitis in accordance with current recommendations (2) . As the patient's appendix appeared normal, the examination highlighted the inaccuracy of the original, provisional diagnosis ( Figure 1 ). The radiology team then decided to obtain images of the thorax and changed the diagnosis to one of covid-19 ( Figure 2) (3). The patient was not operated. Abdominopelvic CT-scan. Normal appendix (arrow).

Thoracic CT-scan objectifying ground glass opacities, highly suggestive of Covid-19 with moderate parenchymal injury.

Novel Coronavirus Infection (COVID-19) in Humans: A Scoping Review and Meta-Analysis

Initial CT findings and temporal changes in patients with the novel coronavirus pneumonia (2019-nCoV): a study of 63 patients in Wuhan, China

Pitfalls and mimickers at 64-section helical CT that cause negative appendectomy: an analysis from 1057 appendectomies