ABSTRACT
Pericecal fossa internal hernias are a rare cause of intestinal obstruction, and high clinical suspicion is required to diagnose them.
ABSTRACT
Aim The outbreak of the COVID-19 pandemic has had a major impact on the delivery of elective, as well as emergency surgery on a world-wide scale. Up to date few studies have actually assessed the impact of COVID-19 on the postoperative morbidity and mortality following emergency gastrointestinal surgery. Herein, we present our relevant experience over a 3-month period of uninterrupted provision of emergency general surgery services in George Eliot Hospital NHS Trust, the United Kingdom. Methods We performed a retrospective analysis of a prospective institutional database, which included the operation types, paraclinical investigations and postoperative complications of all patients undergoing emergency general surgery operations between March - May 2020. Results The occurrence of a 5% overall respiratory complication rate postoperatively, with 3% infection rate for COVID-19 was found; no patient had unplanned return to intensive care for ventilator support and there was no mortality related to COVID-19 infection. Conclusion When indicated, emergency surgery should not be delayed in favour of expectant/conservative management in fear of COVID-19-related morbidity or mortality risks.
Subject(s)
Coronavirus Infections/epidemiology , Digestive System Surgical Procedures , Emergencies , Mortality , Pneumonia, Viral/epidemiology , Postoperative Complications/epidemiology , Respiratory Insufficiency/epidemiology , Respiratory Tract Infections/epidemiology , Abscess/surgery , Acute Coronary Syndrome/drug therapy , Acute Coronary Syndrome/epidemiology , Adolescent , Adult , Aged , Aged, 80 and over , Appendectomy , Betacoronavirus , COVID-19 , Cholecystectomy, Laparoscopic , Comorbidity , Coronavirus Infections/therapy , Disease Outbreaks , Drainage , Female , Herniorrhaphy , Humans , Laparoscopy , Length of Stay , Male , Middle Aged , Pandemics , Pneumonia, Viral/therapy , Pulmonary Disease, Chronic Obstructive/epidemiology , Pulmonary Embolism/drug therapy , Pulmonary Embolism/epidemiology , Respiratory Insufficiency/therapy , Respiratory Tract Infections/therapy , Retrospective Studies , SARS-CoV-2 , Surgical Wound Infection/drug therapy , Surgical Wound Infection/epidemiology , United Kingdom/epidemiology , Young AdultABSTRACT
Intestinal obstruction secondary to cocoon formation is not common. We report a case of a patient who had presented with abdominal pain and distension accompanied by vomiting. Investigations, laparotomy and histology together revealed primary peritoneal carcinoma as the cause of the patient's symptoms.
