Your browser doesn't support javascript.
The challenges of urgent radical sigmoid colorectal cancer resection in a COVID-19 patient: A case report.
Huang, Zhengbin; Yan, Jijun; Jin, Tian; Huang, Xiufang; Zeng, Guoxiang; Adashek, Michael L; Wang, Xinhai; Li, Jieping; Zhou, Dan; Wu, Zhengqi.
  • Huang Z; Department of General Surgery, Hanchuan People's Hospital, 1 Renmin Avenue, Hanchuan, Hubei 431600, China.
  • Yan J; Department of General Surgery, Hanchuan People's Hospital, 1 Renmin Avenue, Hanchuan, Hubei 431600, China.
  • Jin T; Department of Pathology, Hanchuan People's Hospital, 1 Renmin Avenue, Hanchuan, Hubei 431600, China.
  • Huang X; Department of General Surgery, Hanchuan People's Hospital, 1 Renmin Avenue, Hanchuan, Hubei 431600, China.
  • Zeng G; Department of General Surgery, Hanchuan People's Hospital, 1 Renmin Avenue, Hanchuan, Hubei 431600, China.
  • Adashek ML; Department of Internal Medicine, Sinai Hospital, 2401 W. Belvedere Ave, Baltimore, MD 21215, USA.
  • Wang X; Department of Pathology, Hanchuan People's Hospital, 1 Renmin Avenue, Hanchuan, Hubei 431600, China.
  • Li J; Department of Radiology, Hanchuan People's Hospital, 1 Renmin Avenue, Hanchuan, Hubei 431600, China.
  • Zhou D; Department of Molecular Biology Laboratory, Hanchuan People's Hospital, 1 Renmin Avenue, Hanchuan, Hubei 431600, China.
  • Wu Z; Department of Medicine, Winchester Medical Center, 1840 Amherst Street, Winchester, VA 22601, USA. Electronic address: zwu@valleyhealthlink.com.
Int J Surg Case Rep ; 71: 147-150, 2020.
Article in English | MEDLINE | ID: covidwho-232748
ABSTRACT

INTRODUCTION:

The COVID-19 pandemic presents a unique global health challenge further complicating surgical management of COVID-19 positive patients due to a lack of published literature. CASE Within we discuss a 48-year-old Chinese man, presenting with acute gastrointestinal obstruction due to sigmoid colonic mass. The patient was screened and tested positive for COVID 19 due to his employment in Wuhan, China at the COVID-19 pandemic epicenter. The patient was subsequently taken for open sigmoid colonic resection, however the case presented multiple challenges due to the patient's COVID-19 positive status.

DISCUSSION:

The challenges of surgical management of COVID-19 positive patients exist are four-fold. First the unknown efficacy of pre-surgical risk stratification in COVID-19 positive patients, second the risk of aerosolized COVID-19 transmission during intubation for surgery, third the risk of fecal COVID-19 transmission to surgical staff during large bowel resection, and fourth the post-operative challenges of caring for COVID-19 positive patients.

CONCLUSION:

Further research is needed into these topics, as well as the medical management of COVID-19 surgical patients.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Prognostic study Language: English Journal: Int J Surg Case Rep Year: 2020 Document Type: Article Affiliation country: J.ijscr.2020.04.088

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Prognostic study Language: English Journal: Int J Surg Case Rep Year: 2020 Document Type: Article Affiliation country: J.ijscr.2020.04.088