About: Subtotal laparoscopic cholecystectomy for gangrenous gallbladder during recovery from COVID-19 pneumonia

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About: Subtotal laparoscopic cholecystectomy for gangrenous gallbladder during recovery from COVID-19 pneumonia Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Subtotal laparoscopic cholecystectomy for gangrenous gallbladder during recovery from COVID-19 pneumonia
Creator	Asti, Emanuele Bonavina, Irccs Bonavina, Luigi Bruni, Barbara Donato, Piazza Lovece, Andrea Malan, Policlinico, San
Source	Elsevier; Medline; PMC
abstract	INTRODUCTION: Management of acute abdomen during COVID-19 pandemic may be challenging. Presentation of case. A 42-year old man was hospitalized for Covid-19 pneumonia. Fever, respiratory symptoms and hypoxemia significantly improved over the next 2 weeks, but the patient developed abdominal pain, nausea, and low-grade fever. Computed tomography scan revealed absence of contrast enhancement of gallbladder wall and a micro-perforation of the fundus. At laparoscopy, gallbladder gangrene was confirmed and a subtotal cholecystectomy performed. Special precautions were adopted for patient transportation from the ward to a dedicated operating room, and two teams with adequate personal protective equipment took charge of the procedure. The patient was discharged home on postoperative day 7 under protective lockdown measures for 2 weeks. DISCUSSION: The pathogenesis of acute acalcolous gangrenous cholecystitis is multifactorial. It is unknown whether a prothrombotic state induced by COVID-19 contributes to wall ischemia and perforation. Percutaneous cholecystostomy should be avoided in patients with gallbladder gangrene. Contraindications to laparoscopy are not evidence-based since aerosolization is produced during both open and laparoscopic surgical procedures. However, personal protective equipment is key for prevention CONCLUSION: Early diagnosis and surgical therapy are critical in patients with gangrenous cholecystitis. Subtotal laparoscopic cholecystectomy for gangrenous gallbladder is safe and effective.
has issue date	2020-06-13(xsd:dateTime)
bibo:doi	10.1016/j.ijscr.2020.06.038
bibo:pmid	32551214
has license	no-cc
sha1sum (hex)	daea9802bc887a99aa47835de32c5e5b43a74a1d
schema:url	https://doi.org/10.1016/j.ijscr.2020.06.038
resource representing a document's title	Subtotal laparoscopic cholecystectomy for gangrenous gallbladder during recovery from COVID-19 pneumonia
has PubMed Central identifier	PMC7293458
has PubMed identifier	32551214
schema:publication	Int J Surg Case Rep
resource representing a document's body	covid:daea9802bc887a99aa47835de32c5e5b43a74a1d#body_text
is schema:about of	named entity 'pandemic' named entity 'Gallbladder' named entity 'Fever' named entity 'pneumonia' named entity 'San Donato Milanese' named entity 'COVID-19' named entity 'performed' named entity 'recovery' named entity 'COVID-19' named entity 'formal analysis' named entity 'gangrenous' named entity 'TRANSMISSION' named entity 'ACUTE ABDOMEN' covid:arg/daea9802bc887a99aa47835de32c5e5b43a74a1d named entity 'hospital' named entity 'effective' named entity 'cholecystectomy' named entity 'gallbladder' named entity 'fundus' named entity 'acute abdomen' named entity 'gangrene' named entity 'respiratory symptoms' named entity 'Data curation' named entity 'Data curation' named entity 'COVID-19' named entity 'gangrenous' named entity 'electrocautery' named entity 'fasting' named entity 'aerosolization' named entity 'prothrombotic' named entity 'fever' named entity 'CO2' named entity 'COVID' named entity 'Covid-19' named entity 'perforation' named entity 'cystic duct' named entity 'infection' named entity 'cholecystitis' named entity 'amoxicillin' named entity 'gangrenous' named entity 'nosocomial' named entity 'risk factors' named entity 'normal sinus rhythm' named entity 'aerosol' named entity 'surgical team' named entity 'ischemia' named entity 'Pathology' named entity 'negative pressure' named entity 'gangrene' named entity 'gangrenous' named entity 'orotracheal intubation' named entity 'dyspnea' named entity 'global pandemic' named entity 'anesthesiologist' named entity 'physical examination' named entity 'abdomen' named entity 'Covid-19' named entity 'face shield' named entity 'fever' named entity 'cholecystitis' named entity 'ultrasonic' named entity 'operating room' named entity 'virus' named entity 'gangrenous' named entity 'gallbladder' named entity 'surgical team' named entity 'pH 7' named entity 'operating room' named entity 'laparoscopic surgery' named entity 'oxygen therapy' named entity 'Early diagnosis' named entity 'necrosis' named entity 'adhesions' named entity 'operating room'

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