Subject(s)
COVID-19 , Colonic Diseases , Intestinal Perforation , Thrombosis , Humans , Mesenteric Artery, Inferior/diagnostic imaging , Colon, Sigmoid/diagnostic imaging , Colon, Sigmoid/blood supply , COVID-19/complications , Colonic Diseases/complications , Thrombosis/complications , Thrombosis/diagnostic imaging , Intestinal Perforation/complications , Intestinal Perforation/surgerySubject(s)
Abdominal Abscess , COVID-19 , Intestinal Perforation , Peritonitis , Abdominal Abscess/diagnostic imaging , Abdominal Abscess/etiology , Abdominal Abscess/surgery , Abscess/complications , Abscess/etiology , COVID-19/complications , Humans , Intestinal Perforation/complications , Intestinal Perforation/surgery , Peritonitis/complicationsSubject(s)
COVID-19/complications , Cecal Diseases/pathology , Cecum/pathology , Intestinal Perforation/complications , SARS-CoV-2 , Aged , Anti-Bacterial Agents/therapeutic use , Cecal Diseases/complications , Clostridioides difficile , Enterocolitis, Pseudomembranous/drug therapy , Enterocolitis, Pseudomembranous/microbiology , Humans , Intestinal Perforation/surgery , Male , Vancomycin/therapeutic useSubject(s)
COVID-19/complications , Diverticulitis, Colonic/surgery , Intestinal Perforation/surgery , SARS-CoV-2 , COVID-19/diagnostic imaging , Diverticulitis, Colonic/complications , Diverticulitis, Colonic/diagnostic imaging , Humans , Hypertension/drug therapy , Intestinal Perforation/complications , Intestinal Perforation/diagnostic imaging , Male , Middle Aged , Respiratory Distress Syndrome/etiology , Tomography, X-Ray ComputedABSTRACT
The present pandemic caused by the SARS COV-2 coronavirus is still ongoing, although it is registered a slowdown in the spread for new cases. The main environmental route of transmission of SARS-CoV-2 is through droplets and fomites or surfaces, but there is a potential risk of virus spread also in smaller aerosols during various medical procedures causing airborne transmission. To date, no information is available on the risk of contagion from the peritoneal fluid with which surgeons can come into contact during the abdominal surgery on COVID-19 patients. We have investigated the presence of SARS-CoV-2 RNA in the peritoneal cavity of patients affected by COVID-19, intraoperatively and postoperatively. KEY WORDS: Covid-19, Laparotomy, Surgery.
Subject(s)
Ascitic Fluid/virology , Betacoronavirus/isolation & purification , Coronavirus Infections/transmission , Infectious Disease Transmission, Patient-to-Professional/prevention & control , Intestinal Perforation/surgery , Laparotomy , Pandemics , Pneumonia, Viral/transmission , Sigmoid Diseases/surgery , Viremia/transmission , Aerosols , Aged, 80 and over , COVID-19 , Coronavirus Infections/blood , Coronavirus Infections/complications , Coronavirus Infections/prevention & control , Cross-Sectional Studies , Diverticulum/complications , Fatal Outcome , Female , Humans , Intestinal Perforation/blood , Intestinal Perforation/complications , Intestinal Perforation/virology , Intraoperative Period , Nasopharynx/virology , Pandemics/prevention & control , Pneumonia, Viral/blood , Pneumonia, Viral/complications , Pneumonia, Viral/prevention & control , Postoperative Period , Prospective Studies , RNA, Viral/isolation & purification , Risk , SARS-CoV-2 , Serum/virology , Sigmoid Diseases/blood , Sigmoid Diseases/complications , Sigmoid Diseases/virology , Viremia/virologyABSTRACT
INTRODUCTION: Since the outbreak of novel coronavirus (2019-nCoV), it became evident that a proportion of patients may present with gastrointestinal symptoms. CASE: We report the case of a Covid-19-infected patient who, during recovery from the pulmonary pneumonia, had gastrointestinal symptoms followed by a diastasic right colon perforation due to acute over distension of the bowel. CONCLUSION: This case highlights the importance of paying attention to initial gastrointestinal symptoms in order to prevent possible complications.