Highlights
As per the available literature this is the first case of COVID 19 positive patient with gunshot injury with successful outcome.
Effective peri-operative and post-operative care in a COVID 19 positive patients results in better outcome.
Delay in emergency surgeries should be avoided in view of awaited COVID report.
Universal precaution and multidisciplinary approach have pivotal role in surgical care during COVID -era.
Highlights
The haemodynamically stable grade III pancreatic injury may be managed conservatively.
Assault with punching leading to isolated grade III pancreatic injury in an adult is extremely rare to occur.
The decision of operation is mainly based on the clinical conditions of patients.
Retroperitoneal sarcomas represent a group of rare malignant neoplasms with complex clinical management and often a poor prognosis. An elderly male presented with a slowly progressive, right-sided abdominal lump for four months associated with loss of appetite and abdominal discomfort. Abdominal examination revealed an apparent retroperitoneal lump in the right lumbar and umbilical region, which was well-defined, and firm in consistency with the bosselated surface. Contrast-enhanced computed tomography (CECT) of the abdomen and pelvis revealed a heterogenous lobulated malignant appearing retroperitoneal lesion arising from the right anterior perirenal space with a differential of retroperitoneal sarcoma. Wide local excision of the tumor was done. Histopathology of the lesion revealed a smooth muscle tumor of uncertain malignant potential (STUMP). The patient is asymptomatic and recurrence-free after 24 months of followup.
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