Diaphragmatic rupture in case of COVID-19 pneumonia- A rare presentation

We describe the case of a male patient admitted to our emergency department during the COVID-19 pandemic with complaints of fever, severe breathlessness and dry cough associated with symptoms of gastric reflux for 5 days. Chest HRCT showed subtle multiple areas of diffuse patchy opacities with groun...

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Autores principales: Chawla, Aditya, Chaudhary, Gaurav, Sachdeva, Primal, Chawla, Madhav K., Chawla, Rakesh K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9390312/
https://www.ncbi.nlm.nih.gov/pubmed/35848671
http://dx.doi.org/10.4103/lungindia.lungindia_336_21
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author Chawla, Aditya
Chaudhary, Gaurav
Sachdeva, Primal
Chawla, Madhav K.
Chawla, Rakesh K.
author_facet Chawla, Aditya
Chaudhary, Gaurav
Sachdeva, Primal
Chawla, Madhav K.
Chawla, Rakesh K.
author_sort Chawla, Aditya
collection PubMed
description We describe the case of a male patient admitted to our emergency department during the COVID-19 pandemic with complaints of fever, severe breathlessness and dry cough associated with symptoms of gastric reflux for 5 days. Chest HRCT showed subtle multiple areas of diffuse patchy opacities with ground-glass haze with associated left subdiaphragmatic hernia and atelectasis of the left pulmonary lobe. Barium meal revealed subdiaphragmatic hernia. A nasopharyngeal swab for 2019-nCoV was positive. A diagnosis of diaphragmatic hernia in COVID-19 pneumonia was made. To our knowledge, spontaneous herniation of the diaphragm is a rare entity. Treatment for COVID-19 and empiric antibiotic therapy were promptly started and a decision of elective surgery was made.
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spelling pubmed-93903122022-08-20 Diaphragmatic rupture in case of COVID-19 pneumonia- A rare presentation Chawla, Aditya Chaudhary, Gaurav Sachdeva, Primal Chawla, Madhav K. Chawla, Rakesh K. Lung India Case Report We describe the case of a male patient admitted to our emergency department during the COVID-19 pandemic with complaints of fever, severe breathlessness and dry cough associated with symptoms of gastric reflux for 5 days. Chest HRCT showed subtle multiple areas of diffuse patchy opacities with ground-glass haze with associated left subdiaphragmatic hernia and atelectasis of the left pulmonary lobe. Barium meal revealed subdiaphragmatic hernia. A nasopharyngeal swab for 2019-nCoV was positive. A diagnosis of diaphragmatic hernia in COVID-19 pneumonia was made. To our knowledge, spontaneous herniation of the diaphragm is a rare entity. Treatment for COVID-19 and empiric antibiotic therapy were promptly started and a decision of elective surgery was made. Wolters Kluwer - Medknow 2022 2022-07-01 /pmc/articles/PMC9390312/ /pubmed/35848671 http://dx.doi.org/10.4103/lungindia.lungindia_336_21 Text en Copyright: © 2022 Indian Chest Society https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Chawla, Aditya
Chaudhary, Gaurav
Sachdeva, Primal
Chawla, Madhav K.
Chawla, Rakesh K.
Diaphragmatic rupture in case of COVID-19 pneumonia- A rare presentation
title Diaphragmatic rupture in case of COVID-19 pneumonia- A rare presentation
title_full Diaphragmatic rupture in case of COVID-19 pneumonia- A rare presentation
title_fullStr Diaphragmatic rupture in case of COVID-19 pneumonia- A rare presentation
title_full_unstemmed Diaphragmatic rupture in case of COVID-19 pneumonia- A rare presentation
title_short Diaphragmatic rupture in case of COVID-19 pneumonia- A rare presentation
title_sort diaphragmatic rupture in case of covid-19 pneumonia- a rare presentation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9390312/
https://www.ncbi.nlm.nih.gov/pubmed/35848671
http://dx.doi.org/10.4103/lungindia.lungindia_336_21
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