{"title":"COVID时代急性阑尾炎的管理:个案研究","authors":"Francesca Back","doi":"10.37707/jnds.v3i1.134","DOIUrl":null,"url":null,"abstract":"Acute appendicitis is a common surgical presentation usually managed with laparoscopic appendicectomy. There has been long-standing debate as to whether conservative management of acute appendicitis could provide a superior alternative to surgical management. COVID-19 infection emerged in December 2019 and was labelled as a pandemic by the World Health Organisation in March 2020. Re-structuring as a result of the pandemic forced rapid changes in guidelines from recommending surgical management to advocating for medical management in all cases of uncomplicated acute appendicitis. Mr C had a delayed presentation of complicated acute appendicitis as a result of anxiety about being in a clinical environment during the pandemic. This was successfully managed with surgery and a 4-day inpatient stay. This case report evaluates the best approach for the treatment of acute appendicitis, evaluates whether a change in management was appropriate in the case of a pandemic and details how to avoid more cases of delayed and complex presentation as a result of COVID-19.","PeriodicalId":184356,"journal":{"name":"Journal of the Nuffield Department of Surgical Sciences","volume":"36 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2022-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Management of acute appendicitis in the COVID era: A Case Study\",\"authors\":\"Francesca Back\",\"doi\":\"10.37707/jnds.v3i1.134\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Acute appendicitis is a common surgical presentation usually managed with laparoscopic appendicectomy. There has been long-standing debate as to whether conservative management of acute appendicitis could provide a superior alternative to surgical management. COVID-19 infection emerged in December 2019 and was labelled as a pandemic by the World Health Organisation in March 2020. Re-structuring as a result of the pandemic forced rapid changes in guidelines from recommending surgical management to advocating for medical management in all cases of uncomplicated acute appendicitis. Mr C had a delayed presentation of complicated acute appendicitis as a result of anxiety about being in a clinical environment during the pandemic. This was successfully managed with surgery and a 4-day inpatient stay. This case report evaluates the best approach for the treatment of acute appendicitis, evaluates whether a change in management was appropriate in the case of a pandemic and details how to avoid more cases of delayed and complex presentation as a result of COVID-19.\",\"PeriodicalId\":184356,\"journal\":{\"name\":\"Journal of the Nuffield Department of Surgical Sciences\",\"volume\":\"36 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2022-07-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of the Nuffield Department of Surgical Sciences\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.37707/jnds.v3i1.134\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the Nuffield Department of Surgical Sciences","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.37707/jnds.v3i1.134","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Management of acute appendicitis in the COVID era: A Case Study
Acute appendicitis is a common surgical presentation usually managed with laparoscopic appendicectomy. There has been long-standing debate as to whether conservative management of acute appendicitis could provide a superior alternative to surgical management. COVID-19 infection emerged in December 2019 and was labelled as a pandemic by the World Health Organisation in March 2020. Re-structuring as a result of the pandemic forced rapid changes in guidelines from recommending surgical management to advocating for medical management in all cases of uncomplicated acute appendicitis. Mr C had a delayed presentation of complicated acute appendicitis as a result of anxiety about being in a clinical environment during the pandemic. This was successfully managed with surgery and a 4-day inpatient stay. This case report evaluates the best approach for the treatment of acute appendicitis, evaluates whether a change in management was appropriate in the case of a pandemic and details how to avoid more cases of delayed and complex presentation as a result of COVID-19.