Effective management of a firearm injury with multiple intestinal perforation in a COVID 19 positive patient: A rare case report

Abstract

Highlights As per the available literature this is the first case of COVID 19 positive patient with gunshot injury with successful outcome. Effective peri-operative and post-operative care in a COVID 19 positive patients results in better outcome. Delay in emergency surgeries should be avoided in view of awaited COVID report. Universal precaution and multidisciplinary approach have pivotal role in surgical care during COVID -era.

Traumatic jejunal perforation associated with SARS-CoV-2 (COVID-19) infection

“…[7][8][9][10][11] However, most authors suspect that angiotensinconverting enzyme 2 (ACE-2), the primary cellular receptor for SARS-CoV-2, is involved since ACE-2 is highly expressed in the intestinal tract. [1][2][3][4][5][6][7][8]12,13 Consistent with this patient, several reports have documented neutrophilia and increased lymphocytes in COVID-19 patients. [14][15][16][17] Furthermore, autopsies of COVID-19 patients show neutrophil infiltration in pulmonary capillaries and alveolar spaces.…”

“…The possibility that COVID-19 infection causes or contributes to development of gastrointestinal perforations has been raised by several case reports affecting all age groups. [2][3][4][5][6][7][8][9] The most common causes proposed for COVID-19 gastric perforations include high-dose steroids, tocilizumab (an interleukin-6 inhibitor), stress-related mucosal damage, and small vessel thrombosis and nonocclusive mesenteric ischemia. [7][8][9][10][11] However, most authors suspect that angiotensinconverting enzyme 2 (ACE-2), the primary cellular receptor for SARS-CoV-2, is involved since ACE-2 is highly expressed in the intestinal tract.…”

“…1 However, several case reports have suggested a potential role of COVID-19 in causing gastrointestinal perforations. [2][3][4][5][6][7][8][9] We report a case of a gastrointestinal perforation in a COVID-19 patient developing after a motor vehicle accident.…”

Application of the Whole Optimization of Emergency Nursing Model United and Its Influence on Patients’ Stress Response and Nursing Satisfaction

“…The following were the study's inclusion criteria: (1) the participants or their relatives were fully told about the study & completed the written informed consent; (2) after assessment, the patients satisfied the criteria for multiple trauma [ 12 ]; (3) the trauma severity scores of the patients were higher than 16 [ 13 ]; and (4) the patients were seen within 12 hours after the accident.…”