Introduction The clinical symptomatology of SARS-CoV-2 disease may manifest as an appendicular syndrome. The abdominal CT scan can be used to rule out or confirm the diagnosis of acute appendicitis and a chest CT scan can make the diagnosis of SARS-CoV-2 infection. Observation We report the observation of a 30-year-old patient, with no particular pathological history, who presented with appendicular syndrome without extra-digestive signs, and especially, without respiratory syndrome. The CRP was at 35mg/l. A thoracoabdominal CT scan was requested to detect an eventual appendicitis. With three straight frosted glass areas on the thoracic area suggesting COVID 19 infectious pneumopathy, a PCR was requested to detect a positive SARS-CoV-2 viral RNA, then the patient was appendectomized. Post-operative follow-up was simple and the patient was transferred to a department dedicated to covid-19-positive patients for further management. Conclusion CT scan is necessary before considering emergency surgery for acute appendicitis because it can change the patient’s management circuit. Highlights • The Covid-19 Pandemic IS a major global health problem. • SARS COV 2 infection can manifest itself in different clinical pictures. • Though respiratory symptoms predominate gastrointestinal complications from SARS COV 2 infection have also been described and may even precede respiratory symptoms. • In this time of pandemic it is important to consider this diagnosis even in cases of abdominal pain syndrome suggestive of acute appendicitis. • A C T scan is necessary before considering emergency surgery for acute appendicitis.
【저자키워드】 COVID-19, SARS-CoV-2, CT scan, Appendicitis, 【초록키워드】 pandemic, Infection, Diagnosis, CRP, abdominal pain, COVID 19, Health, PCR, management, Patient, Follow-up, SARS-CoV-2 viral RNA, chest CT scan, Thoracic, respiratory symptoms, observation, SARS-CoV-2 disease, syndrome, respiratory symptom, positive, described, detect, the patient, can be used, diagnosis of SARS-CoV-2, gastrointestinal complication, pneumopathy, transferred, 【제목키워드】 Infection, Case report, Gastrointestinal, manifestation, syndrome,