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Abdominal Manifestations of Multisystem Inflammatory Syndrome in Children: A Single-Center Experience.
Unny, Ashitha K; Rajashree, P; Sundararajan, Lakshmi; Sankar, Janani.
  • Unny AK; Department of Pediatric Surgery, CHILDS Trust Medical Research Foundation, Kanchi Kamakoti Childs Trust Hospital, Chennai, Tamil Nadu.
  • Rajashree P; Department of Pediatrics, CHILDS Trust Medical Research Foundation, Kanchi Kamakoti Childs Trust Hospital, Chennai, Tamil Nadu.
  • Sundararajan L; Department of Pediatric Surgery, CHILDS Trust Medical Research Foundation, Kanchi Kamakoti Childs Trust Hospital, Chennai, Tamil Nadu.
  • Sankar J; Department of Pediatrics, CHILDS Trust Medical Research Foundation, Kanchi Kamakoti Childs Trust Hospital, Chennai, Tamil Nadu. Correspondence to: Dr Ashitha K Unny, Department of Pediatric Surgery, Kanchi Kamakoti Childs Trust Hospital, Chennai, Tamil Nadu 600 034. ashitha.aku@gmail.com.
Indian Pediatr ; 59(12): 936-938, 2022 12 15.
Article in English | MEDLINE | ID: covidwho-2157163
ABSTRACT

OBJECTIVES:

We reviewed the cases of probable multisystem inflammatory syndrome in children (MIS-C) to identify those cases that mimicked surgical emergencies.

METHODS:

Records of children managed for MIS-C during a 15-month period between March, 2020 and April, 2021 were retrieved. Data on clinical presentation, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RT-PCR report, SARS-CoV-2 antibody status, blood investigations, radiological investigations and management were collected.

RESULTS:

A total of 28 out of 83 children with probable MIS-C had acute abdominal symptoms and signs. Fifteen children had mild features like diffuse abdominal pain or non-bilious vomiting, and the remaining 13 (46.2%) had severe abdominal signs or bilious vomiting. Four children worsened with conservative treatment for MIS-C and were detected with perforated appendicitis. Two more children developed recurrent appendicitis on follow up. One child with appendicitis who underwent laparoscopic appendectomy, later manifested with MIS-C.

CONCLUSION:

Surgical abdominal emergencies may be confused with or occur concurrently in children with MIS-C that should be identified with a high index of suspicion.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Appendicitis / COVID-19 Type of study: Cohort study / Diagnostic study / Prognostic study Limits: Child / Humans Language: English Journal: Indian Pediatr Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Appendicitis / COVID-19 Type of study: Cohort study / Diagnostic study / Prognostic study Limits: Child / Humans Language: English Journal: Indian Pediatr Year: 2022 Document Type: Article