{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:39:47Z","timestamp":1747183187232,"version":"3.40.5"},"reference-count":27,"publisher":"Wiley","issue":"1-2","license":[{"start":{"date-parts":[[2022,11,21]],"date-time":"2022-11-21T00:00:00Z","timestamp":1668988800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Backgrounds<\/jats:title><jats:p>Abdominal pain is one of the most common symptoms of multisystem inflammatory syndrome in children (MIS\u2010C). Abdominal pain can vary from mild to severe and may present as acute abdomen. Severe abdominal pain in patients with MIS\u2010C should be differentiated from surgical causes of acute abdomen to prevent unnecessary surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The diagnosis of MIS\u2010C was based on WHO and CDC recommended criteria. Records of children treated for MIS\u2010C between September 2020 and January 2021 were reviewed retrospectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In a short time, we encountered seven patients who were diagnosed with MIS\u2010C and showed acute abdomen findings. There were four male and three female patients. The median age was 9\u2009years. Fever, abdominal pain and distension were present in all. The median duration of symptoms was 4\u2009days. Five patients had general abdominal tenderness mimicking acute abdomen. Three patients had right lower quadrant tenderness mimicking acute appendicitis. After the initiation of immunomodulatory therapy and antibiotics, the physical examination findings were improved step by step in all. The median time to initiate oral feeding was 2\u2009days. The median length of hospitalization time was 8\u2009days.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Serial abdominal examinations performed by the same surgeon enabled us to follow these patients conservatively and thus avoid unnecessary surgical intervention.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.18162","type":"journal-article","created":{"date-parts":[[2022,11,21]],"date-time":"2022-11-21T14:30:00Z","timestamp":1669041000000},"page":"108-114","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Favourable outcomes of conservatively managed acute abdomen associated with multisystem inflammatory syndrome in children during the <scp>COVID<\/scp>\u201019 pandemic"],"prefix":"10.1111","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1630-7029","authenticated-orcid":false,"given":"Burak","family":"Ardicli","sequence":"first","affiliation":[{"name":"Department of Medical and Surgical Research Hacettepe University, Institute of Health Sciences  Ankara Turkey"},{"name":"Faculty of Medicine, Department of Paediatric Surgery Hacettepe University  Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2763-388X","authenticated-orcid":false,"given":"Idil Rana","family":"User","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Research Hacettepe University, Institute of Health Sciences  Ankara Turkey"},{"name":"Faculty of Medicine, Department of Paediatric Surgery Hacettepe University  Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1551-7697","authenticated-orcid":false,"given":"Tunc","family":"Tigli","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Paediatric Surgery Hacettepe University  Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4756-4359","authenticated-orcid":false,"given":"H. Nursun","family":"Ozcan","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Radiology, Division of Paediatric Radiology Hacettepe University  Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0399-3741","authenticated-orcid":false,"given":"Berna","family":"Oguz","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Radiology, Division of Paediatric Radiology Hacettepe University  Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8502-2422","authenticated-orcid":false,"given":"Mithat","family":"Haliloglu","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Radiology, Division of Paediatric Radiology Hacettepe University  Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4746-6986","authenticated-orcid":false,"given":"Selman","family":"Kesici","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Paediatrics, Division of Intensive Care Unit Hacettepe University  Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8662-6909","authenticated-orcid":false,"given":"Yasemin","family":"Ozsurekci","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Paediatrics, Division of Paediatric Infectious Diseases Hacettepe University  Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2628-6954","authenticated-orcid":false,"given":"Ali Bulent","family":"Cengiz","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Paediatrics, Division of Paediatric Infectious Diseases Hacettepe University  Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4530-0149","authenticated-orcid":false,"given":"Mehmet","family":"Ceyhan","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Paediatrics, Division of Paediatric Infectious Diseases Hacettepe University  Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6607-0568","authenticated-orcid":false,"given":"Ilker","family":"Ertugrul","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Paediatrics, Division of Paediatric Cardiology Hacettepe University  Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2961-7069","authenticated-orcid":false,"given":"Saniye","family":"Ekinci","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Research Hacettepe University, Institute of Health Sciences  Ankara Turkey"},{"name":"Faculty of Medicine, Department of Paediatric Surgery Hacettepe University  Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,11,21]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)31094-1"},{"key":"e_1_2_8_3_1","unstructured":"New York City Health Department.Health Alert #13: Pediatric Multi\u2010 System Inflammatory Syndrome Potentially Associated with COVID\u201019.2020[Cited 21 Feb 2021.] Available from URL:https:\/\/www1.nyc.gov\/assets\/doh\/downloads\/pdf\/han\/alert\/2020\/covid\u201019\u2010pediatric\u2010multi\u2010system\u2010inflammatory\u2010syndrome.pdf."},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)31103-X"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.120.048360"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0000000000002777"},{"key":"e_1_2_8_7_1","unstructured":"Centers for Disease Control and Prevention.Emergency pre\u2010 paredness and response: health alert network.2020[Cited 22 Feb 2021.] Available from URL:https:\/\/emergency.cdc.gov\/han\/2020\/han00432.asp."},{"key":"e_1_2_8_8_1","unstructured":"World Health Organization.Multisystem inflammatory syndrome in children and adolescents with COVID\u2010192020[Cited 22 Feb 2020.] Available from URL:www.who.int\/publications\u2010detail\/multisystem\u2010inflammatory\u2010syndrome\u2010in\u2010children\u2010and\u2010adolescents\u2010with\u2010covid\u201019."},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.18632\/aging.103839"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0000000000000749"},{"key":"e_1_2_8_11_1","first-page":"1","article-title":"Multisystem inflammatory syndrome in children during the COVID\u201019 pandemic in Turkey: first report from the eastern Mediterranean","volume":"12","author":"Ozsurekci Y","year":"2021","journal-title":"Clin. 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