Colorectal cancer (CRC) is one of the most common gastrointestinal cancers in the world. In Malaysia, it is the third most common cancer for both men and women. Curative surgical resection with en bloc removal of the regional lymph nodes remains the mainstay of treatment with 5-year survival rate of 70%-90% for local disease. 1 Nonetheless, about 1 in 3 curatively treated CRC patient will suffer from local recurrence or metastasis . 2 Among the usual sites of recurrence are liver, lungs, local and/or regional intraabdominal and retroperitoneal lymph nodes. 3 We report a rare case of colon cancer recurrence to the left kidney after curative surgery and adjuvant therapy, which mimicked left renal cell carcinoma.

Coronavirus disease 2019 (COVID-19) is a highly contagious, severe acute respiratory syndrome that poses significant health risks to healthcare providers. A delicate balance is needed between timely intervention for ill patients without apparent COVID-19 infection and the safety of healthcare personnel who provide essential treatment in the midst of the pandemic. We report our experience managing a 70-year-old man who presented with acute gallstone pancreatitis at our hospital during the COVID-19 outbreak in Malaysia. We also describe the safety protocol measures that have been implemented in our institution to protect the healthcare personnel from this disease during endoscopic retrograde cholangiopancreatography. This case illustrates the importance of meticulous planning, risk assessment, effective team communication and strict adherence to recommendations when providing treatment during an unprecedented pandemic.