在感染新冠病毒19的患者中，将新技术应用于乙状结肠扭转手术。
Using new technicque in sigmoid volvulus surgery in patients affected by COVID19.
作者信息
Ahmadinejad Mojtaba, Ahmadinejad Izadmehr, Soltanian Ali, Mardasi Kimiya Ghanbari, Taherzade Noshin
机构信息
Department of Surgery, School of Medicine, Shahid Madani Hostpital, Alborz University of Medical Sciences, Karaj, Iran.
Student Research Committee, Tehran University of Medical Sciences, Tehran, Iran.
出版信息
Ann Med Surg (Lond). 2021 Oct;70:102789. doi: 10.1016/j.amsu.2021.102789. Epub 2021 Sep 4.
INTRODUCTION
Coronavirus pandemic-initiated Wuhan city, Hubei Province, China. It mainly involves respiratory system and cause fever, cough. However, it has other manifestations such as GI system, CNS and skin involvement. It is transmitted mostly through respiratory system, but some researchers claim that in can potentially spread by oral, fecal or intestinal gas. During colorectal surgeries such as volvulus sigmoid, surgeons are at risk of exposure to intestinal gas.
CASE PRESENTATION
A 57-year-old mentally retarded man came to our emergency department with complain of abdominal pain, constipation, obstipation, nausea, vomiting and abdominal distention. His vital sign was stable and his laboratory data revealed no abnormality. His abdominal x-ray showed intestinal obstruction with suspicious of sigmoid volvulus. His PCR for COVID 19 was positive and his chest CT scan has manifestations of lung involvement. He was proceeded for surgery.
CONCLUSION
Owing to odds of spread of coronavirus through intestinal gas, in this case, sigmoid colon was removed without evacuation of intestinal gas.
引言
冠状病毒大流行始于中国湖北省武汉市。它主要累及呼吸系统，引起发热、咳嗽。然而，它还有其他表现，如胃肠道系统、中枢神经系统和皮肤受累。它主要通过呼吸系统传播，但一些研究人员声称它可能通过口腔、粪便或肠道气体传播。在诸如乙状结肠扭转等结直肠手术中，外科医生有接触肠道气体的风险。
病例介绍
一名57岁的智障男子因腹痛、便秘、肠梗阻、恶心、呕吐和腹胀前来我院急诊科。他的生命体征稳定，实验室检查数据无异常。他的腹部X光片显示肠梗阻，怀疑是乙状结肠扭转。他的新冠病毒19核酸检测呈阳性，胸部CT扫描有肺部受累表现。他接受了手术。
结论
由于冠状病毒通过肠道气体传播的可能性，在本病例中，乙状结肠在未排空肠道气体的情况下被切除。
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