Acute surgical abdomen due to duodenal perforation in an elderly COVID-19 patient

Abstract

Introduction. Since the announcement of the SARS-CoV-2 pandemic, the health system has been facing great challenges. Due to several uncertainties and concerns, surgeons face a huge challenge in solving urgent surgical conditions in order to save a life. Case report. We present a patient with a coronavirus (COVID-19) infection and acute abdomen who was in poor general condition at the time of surgery, septic, all as a result of duodenal ulcer perforation. She did not have a positive RT-PCR at the time of surgery, but the lung CT scan showed highly indicative signs of COVID-19 infection. She had a positive nasopharyngeal swab RT-PCR test for the SARS-CoV-2 virus on the first postoperative day. Conclusion. All suspected COVID-19 patients during surgery should be treated as positive for SARS-CoV-2 virus with the use of all staff protection measures.

Acinetobacter superinfection in elderly COVID-19 patients with pneumothorax - a report of two cases

“…Pneumothorax is an important complication of COVID-19 that is associated with increased mortality, morbidity, and health care costs [2,7]. The data about the incidence of pneumothorax in COVID-19 patients are mostly obtained through published case reports of patients with COVID-19 with pneumothorax, and therefore it is unknown.…”

“…The symptoms of COVID-19 typically include the respiratory system, but sometimes they present with abdominal pain, without findings of abdominal disease, and with no respiratory symptoms. Patients with diabetes, heart disease, hypertension, obesity, malignant diseases, and the elderly are at a greater risk of developing a severe clinical picture with complications [1][2][3].…”