DOI: http://dx.doi.org/10.18203/2349-2902.isj20203820

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

Mrinal Shankar, Manoj Kumar Chaudhary, Shubham Samal, Radhakrishna Ramchandani

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.


Keywords


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

Full Text:

PDF

References


Gao Y, Xi H, Chen L. Emergency surgery in suspected COVID-19 patients with acute abdomen: case series and perspectives. Ann Surg. 2020;272(1):38-9.

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).