Acute Abdomen and Multisystem Inflammatory Syndrome in Children with COVID-19: A Case Report and Review of Pathophysiology, Gastrointestinal Symptoms and Abdominal Radiology

Acute Abdomen and Multisystem Inflammatory Syndrome in Children with COVID-19: A Case Report and Review of Pathophysiology, Gastrointestinal Symptoms and Abdominal Radiology

Review Data

Q: Is the topic relevant to the journal area of interest? Is it contemporary and interesting for

researchers?

A: Good

 

Comments: The title has been slightly modified.

 

Abstract & Keywords

Q: Are all required components included in the abstract? Are the keywords appropriately chosen?

A: Good

 

Goal

Q: Is the goal explicitly stated in the Introduction? Is its formulation clear and unambiguous?

A: Good

 

Structure

Q: Is the paper's structure coherent? Is it in coherence with the goal of the paper?

A: Good

 

Tools and Methods

Q: Are methods the author uses adequate and well used?

A: Good

 

Discussion & Conclusion

Q: Is it related to the results presented before? Do you consider them as coherent?

A: Good

 

Comments: The Discussion illustrates the diagnosis of SARS-CoV-2 in the reported patient. This further highlights how the patient manifested the disease and resulted in multisystem inflammatory syndrome in children (MIS-C), providing relevant literature. The Discussion also provides information on the pathophysiology, gastrointestinal symptoms, and abdominal imaging of COVID-19 in children. Lastly, it states that since acute abdomen can be the clinical presentation of MIS-C, proper diagnosis necessary even in the absence of respiratory symptoms or radiologic chest signs associated with COVID-19.

 

Literature

Q: Does the author utilize relevant literature?

A: Good

 

Author's knowledge

Q: What is the level of the author’s knowledge? Does the author utilize all recent contributions relevant to the topic?

A: Good

 

Length

Q: Is the length of the paper adequate to the significance of the topic? Do you suggest shortening the paper without losing its value?

A: Good

 

Figures & Tables

Q: Does the author use them suitably? Are legend and notations clear?

A: Good

 

Writing style

Q: Is it clear and understandable?

A: Good

 

Comments: There are few errors found in the manuscript, which are as follows:

·       Under Introduction, 2nd paragraph, 1st sentence “prevalence of gastrointestinal symptoms is also similar” must be “prevalence of gastrointestinal symptoms are also similar”.

·       In the 4th paragraph of Case Presentation, “tocilizumab” was misspelled as “tozilizumab”.

 

Further comments on the paper

Comments: This case reports a 10-year-old girl who presents COVID-19 in the form of an acute abdomen due to severe sigmoiditis who developed multisystem inflammatory syndrome accompanied by shock. The manuscript further discusses the treatment procedure and the recovery of the patients. It also states that a high index suspicion is required for diagnosing COVID-19 in the event of any pediatric acute abdomen or even without in the absence of respiratory symptoms or radiologic chest signs.

 

Q: Would you recommend this manuscript for further publication?

A: Yes - Suitable to be published

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Thanks,
Science Repository Team

 
 

Author Info

Corresponding Author
Noela Carrera-Guermeur
Department of Pediatric Surgery, Complejo Hospitalario Universitario de Toledo, Toledo, Spain

Article Info

Article Type
Case Report and Review of the Literature
Publication history
Received: Thu 01, Jul 2021
Accepted: Thu 15, Jul 2021
Published: Mon 02, Aug 2021
Copyright
© 2021 Noela Carrera-Guermeur. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository. All rights reserved.
DOI: 10.31487/j.SCR.2021.08.01