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COVID-19 can mimic acute stoneless gallbladder attack

Journal of Hepatology
Reuters Health - 18/09/2020 - Two case reports from Switzerland show that COVID-19 can mimic acalculous acute cholecystitis and is associated with SARS-CoV-2 in the gallbladder wall. Along with the typical upper and lower respiratory symptoms of COVID-19, "attention should also be paid to extra-respiratory manifestations of the disease," Dr. Christian Toso of University Hospitals of Geneva told Reuters Health by email. "Acute abdominal pain can also be a preliminary clinical feature of COVID-19," he said. The findings "suggest that clinicians should be aware of this type of rarer presentation, especially in areas of high COVID-19 prevalence, and primarily direct patients toward conservative, non-surgical, management, considering the fatal outcome in one of our patients." In the Journal of Hepatology, Dr. Toso and colleagues describe an 84-year-old woman who presented to the emergency department with a urinary tract infection and fever for 24 hours. The initia...

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