A pregnant woman with uncommon symptoms and complications of covid19: Case report

• Main Authors: Nooshin Eshraghi (Author), Maryam Kashanian (Author), Nasim Eshraghi (Author), Niloofar Sarchami (Author), Nahid Nafisi (Author)
• Format: Book
• Published: Mashhad University of Medical Sciences, 2021-01-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 1680-2993; 2008-2363; 10.22038/ijogi.2021.17625
• Keywords: appendicitis; covid-19; Gynecology and obstetrics; RG1-991
• Source: Majallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān, Vol 23, Iss 11, Pp 106-111 (2021)

Introduction: The most common signs and symptoms of the novel coronavirus disease which causes severe acute respiratory syndrome include: fever, dry cough, dyspnea and myalgia. But the remarkable point is that half of the patients with this infection have digestive symptoms. In this study, a case of covid-19 with atypical symptoms is reported. Case presentation: A 24-year-old pregnant woman with generalized abdominal pain, bloat and losing appetite without respiratory signs referred to Akbarabadi hospital. Regarding to the epidemic of covid-19 and febrile of the mother after 20 hours, PCR test was done and the result was positive. Emergency appendectomy was done obliquely through a McBurneys point. Pathological results confirmed perforated appendicitis. Conclusion: Since now coronavirus infection is a pandemic, PCR test should be considered for patients with no typical symptoms, but they have acute digestive symptoms; because in the present case with covid-19, appendicitis progressed rapidly and increased maternal morbidity and complications.