Id |
Subject |
Object |
Predicate |
Lexical cue |
T1 |
0-63 |
Sentence |
denotes |
Acute abdomen is not always surgical amid the COVID‐19 pandemic |
T2 |
64-117 |
Sentence |
denotes |
COVID‐19 related‐non‐surgical causes of acute abdomen |
T3 |
120-126 |
Sentence |
denotes |
Editor |
T4 |
128-262 |
Sentence |
denotes |
Lima et al.'s recently published paper discussed the role of imaging in the diagnosis of acute abdomen cases amid the COVID‐19 era 1 . |
T5 |
263-410 |
Sentence |
denotes |
Saeed et al. reported that SARS‐CoV‐2 infection could lead to an acute abdomen‐like presentation in the absence of identifiable surgical causes 2 . |
T6 |
411-529 |
Sentence |
denotes |
Both authors discussed the role of angiotensin‐converting‐enzyme‐2 (ACE2) receptor in the pathogenesis of this entity. |
T7 |
530-601 |
Sentence |
denotes |
Our experience with similar cases makes us concur with both authors 3 . |
T8 |
602-767 |
Sentence |
denotes |
Herein we will summarize the likely non‐surgical causes of acute abdomen in the COVID‐19 era and discuss important management points when dealing with such patients. |
T9 |
768-842 |
Sentence |
denotes |
The causes can be divided into respiratory and non‐respiratory (Fig. 1 ). |
T10 |
843-947 |
Sentence |
denotes |
A respiratory cause for such presentation is pain referring from lower lungs involved by the SARS‐CoV‐2. |
T11 |
948-1109 |
Sentence |
denotes |
The SARS‐CoV2 infection seems to increase the risk of thrombosis 4 ; thus, the non‐respiratory causes can be further classified as thrombotic and non‐thrombotic. |
T12 |
1110-1359 |
Sentence |
denotes |
Non‐thrombotic causes include pancreatitis, peritonitis, colonic distension, and colitis, while thrombotic etiologies are mesenteric vessel ischemia (occlusive or non‐occlusive), renal vessels infarcts, appendagitis, and omental infarcts (Fig. 1 ). |
T13 |
1360-1630 |
Sentence |
denotes |
Fig. 1 COVID‐19‐related non‐surgical causes of acute abdomen With the causes mentioned above in mind, it is wise to keep a broad differential of non‐surgical causes of acute abdomen in the setting of SARS‐CoV‐2 infection, to avoid unnecessary surgical interventions 5 . |
T14 |
1631-1767 |
Sentence |
denotes |
Any patients presenting with an acute abdomen should be tested and retested for SRAS‐CoV‐2, even in the absence of respiratory symptoms. |
T15 |
1768-1826 |
Sentence |
denotes |
Elevated serum ferritin may support COVID‐19 diagnosis 3 . |
T16 |
1827-1972 |
Sentence |
denotes |
Computed tomography (CT) scan of the abdomen and lower chest will be valuable in ruling some of the causes and identifying pulmonary involvement. |
T17 |
1973-2083 |
Sentence |
denotes |
If unrevealing, we suggest performing a CT angiogram of the abdomen, focusing on mesenteric and renal vessels. |
T18 |
2084-2276 |
Sentence |
denotes |
We believe in the role of multidisciplinary meetings (MDT), including radiologists, surgeons, internists, and infectious experts, to tailor an individualized, case‐by‐case management approach. |
T19 |
2278-2299 |
Sentence |
denotes |
Author's contribution |
T20 |
2300-2347 |
Sentence |
denotes |
MFHM and KA contributed equally to this letter. |
T21 |
2348-2431 |
Sentence |
denotes |
KA and MFHM wrote the initial and the final version and approved it for submission. |
T22 |
2433-2448 |
Sentence |
denotes |
Acknowledgement |
T23 |
2449-2544 |
Sentence |
denotes |
We acknowledge the editor and the editorial team members for their prompt review of the letter. |