CC BY-NC-ND 4.0 · Journal of Coloproctology 2021; 41(02): 210-214
DOI: 10.1055/s-0041-1724069
Case Report

Perforated Jejunal Adenocarcinoma in a COVID-19-Positive Patient[*]

Adenocarcinoma jejunal perfurado em paciente positivo para covid-19
1  Department of General Surgery, Hospital General de Zona 1A, Instituto Mexicano del Seguro Social, Ciudad de México, México
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1  Department of General Surgery, Hospital General de Zona 1A, Instituto Mexicano del Seguro Social, Ciudad de México, México
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1  Department of General Surgery, Hospital General de Zona 1A, Instituto Mexicano del Seguro Social, Ciudad de México, México
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1  Department of General Surgery, Hospital General de Zona 1A, Instituto Mexicano del Seguro Social, Ciudad de México, México
,
1  Department of General Surgery, Hospital General de Zona 1A, Instituto Mexicano del Seguro Social, Ciudad de México, México
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1  Department of General Surgery, Hospital General de Zona 1A, Instituto Mexicano del Seguro Social, Ciudad de México, México
2  Department of General Surgery, Hospital Ángeles México, Ciudad de México, México
› Author Affiliations

Abstract

Jejunal adenocarcinoma is a rare type of primary small bowel malignancy. It is generally diagnosed at late stages and as a surgical finding, with abdominal pain or discomfort being the main associated symptom. Cases presenting with perforation are even rarer, especially without disseminated disease. The relationship between cancer and coronavirus disease 2019 (COVID-19) is still being studied, as well as the postsurgical evolution of COVID-19 patients and its possible causality of intestinal perforation. We present the case of a perforated jejunal adenocarcinoma in a COVID-19-positive patient, in whom the symptomatology secondary to the perforation led to an early diagnosis, treatment and adequate postsurgical evolution, despite the concomitant condition.

Resumo

O adenocarcinoma jejunal é um tipo raro de malignidade primária do intestino delgado, o qual geralmente é diagnosticado em estágios tardios e como achado cirúrgico, sendo a dor ou o desconforto abdominal o principal sintoma associado. Casos que apresentam perfuração são ainda mais raros, principalmente sem doença disseminada. A relação entre câncer e a cornonavirus disease 2019 (covid-19) ainda está sendo estudada, assim como a evolução pós-cirúrgica de pacientes com covid-19 e sua possível causalidade de perfuração intestinal. Apresentamos o caso de um adenocarcinoma jejunal perfurado em um paciente positivo para covid-19, em que a sintomatologia secundária à perfuração levou a um diagnóstico precoce, tratamento e evolução pós-cirúrgica adequada, apesar da condição concomitante.

* Study conducted at Hospital General de Zona 1A, Department of Surgery, Instituto Mexicano del Seguro Social, Ciudad de México, México.




Publication History

Received: 16 July 2020

Accepted: 02 September 2020

Publication Date:
24 May 2021 (online)

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