Case Reports and Reviews: Open Access

Acute respiratory failure and a systemic coagulopathy are critical aspects associated with the SARS-Cov-2 infection. A 78-year-old male, diagnosed with covid-19 presented with an aortic ulcer with active bleeding. The endovascular repair of the ruptured aortic ulcers was successfully performed using Valiant Captivia endoprosthesis. The procedure was successful, with no evidence of hemorrhage or thrombosis. SARS-Cov-2 infection can be defined as a microvascular injury syndrome with diffuse endothelial inflammation, a procoagulant state and formation of immunothrombosis. Severe systemic inflammatory response and hypoxia predispose to atherosclerotic plaque rupture and subsequent ulcer formation.

Conjoined twins are a rare congenital malformation associated to significant morbidity and mortality. In this article, we reported a successful anesthetic management and challenges related to the surgical separation of an omphalopagus conjoined twins. In this case, some aspects were fundamental to the positive outcome, such as a multidisciplinary approach and anticipation of complications: difficult intubation, massive blood loss, hemodynamic instability and hypothermia, for example.

Purpose: To present the clinical features of eye trauma following rubber bullet injury during the COVID -19 pandemic to increase the awareness of the public around the world about what is happening in Palestine and how severely any man can be injured and be left with a disability for the rest of his life. Method: Retrospective observational case report. Results: We report a case of 37 years old male patient who presented to our emergency department immediately after he received a rubber bullet in his right eye while he was praying in Jerusalem by an armed Israeli soldier. Detailed examination of the patient, extensive history, physical examination, investigation, and brain imaging revealed a right eye ruptured globe with lost eye contents and a skull fracture. Conclusion: Rubber Bullets can cause a vision-threatening injury that can lead to blindness; this report presents novel data on the course of subjects with rubber bullet injuries during the COVID-19 pandemic in Palestine. International guidelines on the use of crowd-control weapons are deemed necessary to prevent unnecessary injuries, disabilities, or deaths, international guidelines must apply to the state of Israel which repeatedly uses excessive force against the Palestinian people. Restricted use of force can lead to stability in the region, we recommend that every organization working for research and human rights call upon these actions where people can have their right to live peacefully and see freely.