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

Document Type : Case report


1 Assistant professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.

2 Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.

3 Medical Student, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.

4 Resident, Department of Obstetrics and Gynecology, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.

5 Assistant professor, Department of Surgery, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.


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.



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