<b><span>Background:</span></b><span> With reports of higher mortality and complications occurring in patients with perioperative 2019 novel coronarvirus disease (COVID-19), most elective...<b><span>Background:</span></b><span> With reports of higher mortality and complications occurring in patients with perioperative 2019 novel coronarvirus disease (COVID-19), most elective surgeries have been postponed. However, evidence regarding emergency surgeries in patients with COVID-19 remains scarce. We report the case of a patient with asymptomatic perioperative COVID-19, presenting with an acute abdomen requiring surgery.</span><span> </span><b><span>Case:</span></b><span> A 25-year-old male, with a prior nasopharyngeal swab that was negative for SARS-CoV-2, presented with classical signs and symptoms of acute appendicitis. Clinical examination </span><span>and investigations were not suggestive of COVID-19 infection. He underwent</span><span> laparoscopic appendicectomy with infection control precautions. Post-</span><span>operatively, he was found to be positive for SARS-CoV-2 but remained asymptomatic and had an uneventful recovery.</span><span> </span><b><span>Conclusion: </span></b><span>In asymptomatic </span><span>individuals with higher risks, negative test results should be viewed cau</span><span>tiously. </span><span>The benefits of urgent surgical interventions must be weighed against the</span><span> risks of complications due to perioperative COVID-19 in these patients.</span>展开更多
文摘<b><span>Background:</span></b><span> With reports of higher mortality and complications occurring in patients with perioperative 2019 novel coronarvirus disease (COVID-19), most elective surgeries have been postponed. However, evidence regarding emergency surgeries in patients with COVID-19 remains scarce. We report the case of a patient with asymptomatic perioperative COVID-19, presenting with an acute abdomen requiring surgery.</span><span> </span><b><span>Case:</span></b><span> A 25-year-old male, with a prior nasopharyngeal swab that was negative for SARS-CoV-2, presented with classical signs and symptoms of acute appendicitis. Clinical examination </span><span>and investigations were not suggestive of COVID-19 infection. He underwent</span><span> laparoscopic appendicectomy with infection control precautions. Post-</span><span>operatively, he was found to be positive for SARS-CoV-2 but remained asymptomatic and had an uneventful recovery.</span><span> </span><b><span>Conclusion: </span></b><span>In asymptomatic </span><span>individuals with higher risks, negative test results should be viewed cau</span><span>tiously. </span><span>The benefits of urgent surgical interventions must be weighed against the</span><span> risks of complications due to perioperative COVID-19 in these patients.</span>
