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

• Autor(a) principal: Corrêa Neto,Isaac José Felippe
• Data de Publicação: 2020
• Outros Autores: 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
• Tipo de documento: Relatório
• Idioma: eng
• Título da fonte: Journal of Coloproctology (Rio de Janeiro. Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632020000300269
• topic: Coronavirus; COVID; Pneumothorax; Pneumoperitoneum

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.