Emergency surgery amid ongoing pandemic in suspected COVID-19 with D1 perforation

Authors

  • Mrinal Shankar Department of General Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India
  • Manoj Kumar Chaudhary Department of General Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India
  • Shubham Samal Department of General Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India
  • Radhakrishna Ramchandani Department of General Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India

DOI:

https://doi.org/10.18203/2349-2902.isj20203820

Keywords:

COVID-19 pandemic, Real time polymerase chain reaction for SARS-CoV-2, Emergency surgery, Perforation, Safety protocols, Personal protective equipment

Abstract

The COVID-19 pandemic has affected working patterns of all emergency and regular surgical services. We report a case of emergency surgery amid this ongoing pandemic, in a suspected COVID-19 patient with D1 (duodenal) perforation. We did not wait for the real time polymerase chain reaction (RT-PCR) report for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) to come, and proceeded with surgery with all safety protocols. We intend not to delay, for the better outcome of patient’s condition, the life-saving response alike we follow routinely. The pandemic scenario is expected to sustain for longer time. We assume, patients requiring acute care surgery with COVID-19 like symptoms (suspected or confirmed), should definitely be proceeded with surgery as earliest, following all safety protocols, and prevent undue and added morbidity and mortality during this pandemic crisis.

Author Biographies

Mrinal Shankar, Department of General Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India

MBBS, MS (General Surgery)

 

General Surgeon

Laparoscopic Surgeon

 

Senior Resident in All India Institute of Medical Sciences, Raipur

Manoj Kumar Chaudhary, Department of General Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India

Senior Resident

Shubham Samal, Department of General Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India

PG JR

Radhakrishna Ramchandani, Department of General Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India

Asso. Professor

References

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He L, Zhao W, Zhou W, Pang P, Liao Y, Liu J. an emergency surgery in severe case infected by COVID-19 with perforated duodenal bulb ulcer. Ann Surg. 2020;272(1):35-7.

Kühn F, Klein M, Laven H, Börner N, Weinberger T, Streitparth F, Werner J, Schiergens T. Specific management of patients with acute abdomen during the COVID-19 pandemic: a surgical perspective from Germany. Visc Med. 2020.

Saeed U, Sellevoll HB, Young VS, Sandbaek GT, Glomsaker T. Mala: COVID-19 may present with acute abdominal pain. Br J Surg. 2020;107(7):186-7.

Poggiali E, Ramos PM, Bastoni D, Vercelli A, Magnacavallo A. Abdominal pain: a real challenge in novel COVID-19 infection. Euro J Case Rep Inter Med. 2020;7(4).

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Published

2020-08-27

Issue

Section

Case Reports