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

By
Džemail Detanac ,
Džemail Detanac
Enes Zogić ,
Enes Zogić
Džemil Bihorac ,
Džemil Bihorac
Jelena Pavlović ,
Jelena Pavlović

Faculty of Medicine, Foca, The Republic of Srpska, Bosnia and Herzegovina, University of East Sarajevo ,Lukavica ,Bosnia and Herzegovina

Dženana Detanac ,
Dženana Detanac
Lejla Ćeranić ,
Lejla Ćeranić
Mehmed Mujdragić ,
Mehmed Mujdragić
Kemal Alihodžić ,
Kemal Alihodžić
Irfan Ćorović ,
Irfan Ćorović

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.

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