Abstract
Objective: To present the clinical characteristics, laboratory analyses, diagnosis, treatment and evolution of patients with SARS-CoV-2 infection who underwent an emergency surgery. Materials and methods: A multicenter, descriptive and retrospective study conducted in 45 patients who underwent an emergency surgery for acute (surgical) abdomen with a diagnosis of COVID-19 between April and August 2020. Results: Forty-five (45) patients with acute abdomen underwent surgery, out of which 55.55 % were men and 44.44 % were women, with a mean age of 48.33 years. The most frequently used diagnostic test for COVID-19 was the serology test (88.88 %). All the patients underwent a chest computed tomography scan which showed no alterations (31.11 %) and bilateral consolidation of the lungs (48.88 %). The most frequent diagnoses were acute appendicitis (64.44 %) and intestinal obstruction (15.55 %). Postoperative complications occurred in 16 patients (35.55 %). The most frequent complications were respiratory failure (15.55 %) and acute renal failure (13.33 %). Two patients (4.4 %) died due to severe respiratory failure. Conclusions: COVID-19 was diagnosed based on serology tests and chest computed tomography scan findings. The most frequent surgery was appendectomy. Low morbidity and mortality rates were observed in relation to those reported in the medical literature.
Highlights
retrospective study conducted in 45 patients who underwent an emergency surgery for acute (surgical) abdomen
Postoperative complications occurred in 16 patients
COVID-19 was diagnosed based on serology tests and chest computed tomography scan findings
Summary
Daniel Pinares Carrillo 1,a; David Ortega Checa* 1,a; Ivan Vojvodic Hernandez 1,b; Katherine Rios Quintana 1,a; José Apaza Alvarez 2,a; Jorge Alemán López 1,c. Objetivo: Presentar las características clínicas, análisis de laboratorio, diagnóstico, tratamiento y evolución de los pacientes portadores de la enfermedad por el virus SARS-CoV-2 operados en emergencia. El método de diagnóstico de COVID-19 más frecuente fue la prueba serológica (88,88 %). A todos los pacientes se les realizó una tomografía pulmonar que fue informada como "sin alteraciones" en 31,11 % de los casos y con un consolidado bilateral en 48,88 %. Los diagnósticos más frecuentes fueron apendicitis aguda (64,44 %) y obstrucción intestinal (15,55 %). Las complicaciones postoperatorias se presentaron en 35,55 % de los casos (16 de 45 pacientes), las más frecuentes fueron la insuficiencia respiratoria (15,55 %) y la insuficiencia renal aguda (13,33 %). Conclusiones: El diagnóstico de COVID-19 se realizó con base en las pruebas serológicas y en los hallazgos de la tomografía axial computarizada pulmonar. Morbidity and mortality following an emergency abdominal surgery in patients with COVID-19
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