Perforated acute abdomen in a patient with COVID-19: an atypical manifestation of the disease()

INTRODUCTION: The Coronavirus belongs to a family of RNA viruses that can cause respiratory infection, with the possibility of gastrointestinal manifestations in approximately 5–50% of the cases. OBJECTIVE: To report a surgical case with a diagnosis of COVID-19 that developed acute perforated abdome...

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Detalles Bibliográficos
Autores principales: Corrêa Neto, Isaac José Felippe, Viana, Kaline Fortes, Silva, Milena Braga Soares da, Silva, Leandro Mariano da, Oliveira, Gustavo de, Cecchini, Angelo Rossi da Silva, Rolim, Alexander Sá, Robles, Laercio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Coloproctologia. Published by Elsevier Editora Ltda. 2020
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7261449/
http://dx.doi.org/10.1016/j.jcol.2020.05.011
Descripción
Sumario:INTRODUCTION: The Coronavirus belongs to a family of RNA viruses that can cause respiratory infection, with the possibility of gastrointestinal manifestations in approximately 5–50% of the cases. OBJECTIVE: To report a surgical case with a diagnosis of COVID-19 that developed acute perforated abdomen and pneumothorax. CASE REPORT: This was an 80-year-old female patient with respiratory symptoms, with dry cough and fever and diffuse abdominal pain with signs of peritonitis. She had leukocytosis, kidney dysfunction and an increase in D-dimer with positive PCR for COVID. Computed tomography of the chest and abdomen showed pneumothorax on the right and extensive pneumoperitoneum. CONCLUSION: The presentation of COVID-19 with severe pulmonary and abdominal complications requires specialized and emergency treatments, but it has high mortality rates.

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