The novel virus SARS-CoV2 responsible for ongoing pandemic of COVID-19 since March 2020 has not only been found to cause pneumonia but also involves multiple symptoms such as Gastroinstestinal system, central nervous system, cardiovascular system as a part of multi inflammatory syndrome, which has been increasingly recognized as a part of disease spectrum. COVID-19 associated coagulopathy has emerged as a major cause of high morbidity and mortality, one of which is result being ischemic bowel disease. So herein, we are going to present the first case of probable case of COVID-19 associated ischemic bowel disease in our institute.
Trichobezoars are concretions of swallowed hairs retained within the digestive tract, most commonly stomach. Most common in young females and with psychiatric illness. Trichobezoar may be a cause of acute abdomen when it is complicated with acute obstruction or perforation. In this report we present a case of young girl who presented as an acute obstruction due to two large ileal trichobezoars.
Acquired trachea-esophageal fistula (TEF) is a rare condition caused by cuffed tracheal tube, surgical trauma and blunt injuries. Surgical approach for the treatment is successful in surgical units with specialized TEF surgery. Herein, we presented such a rare case of post intubation acquired TEF in a 23 year old female patient who presented with cough and regurgitation of food 7 days after extubation. Patient had history of organophosphate poison ingestion after which she was intubated in emergency room and kept on mechanical ventilation for 11 days. Upper gastrointestinal endoscopy, fibre optic bronchoscopy and computed tomography scan of neck and chest revealed the presence of TEF, 2.5 cm below glottis. Patient was managed with elective single step surgical approach after which patient recovered well. Fistula resection with crico-tracheal anastomosis with primary closure of esophageal defect and suture line buttressed using strap muscle flap cover was done.
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