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

• Published in: Biomedicinska istraživanja Vol. 12; no. 2; pp. 204 - 210
• Main Authors: Detanac, Džemail, Zogić, Enes, Bihorac, Džemil, Detanac, Dženana, Ćeranić, Lejla, Mujdragić, Mehmed, Alihodžić, Kemal, Ćorović, Irfan
• Format: Journal Article
• Language: Bosnian; English
• Published: University of East Sarajevo 16-12-2021
• Subjects: acute abdomen; covid-19; rt-pcr
• ISSN: 1986-8529; 1986-8537
• DOI: 10.5937/bii2102204d

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.