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Case Reports • J. Coloproctol. (Rio J.) 40 (3) • Jul-Sep 2020 • https://doi.org/10.1016/j.jcol.2020.05.011   copy

Perforated acute abdomen in a patient with COVID-19: an atypical manifestation of the disease† ☆ Work carried out at the Service of Coloproctology of the Department of General Surgery of Hospital Santa Marcelina, São Paulo, SP, Brazil.

Abdome agudo perfurativo em paciente com COVID-19: uma manifestação atípica da doença

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

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.

Keywords:
Coronavirus; COVID; Pneumothorax; Pneumoperitoneum

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E-mail: sbcp@sbcp.org.br
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