CC BY-NC-ND 4.0 · Journal of Coloproctology 2020; 40(03): 269-272
DOI: 10.1016/j.jcol.2020.05.011
Case Report

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

Abdome agudo perfurativo em paciente com COVID-19: uma manifestação atípica da doença
,
Kaline Fortes Viana
,
Milena Braga Soares da Silva
,
Leandro Mariano da Silva
,
Gustavo de Oliveira
,
Angelo Rossi da Silva Cecchini
,
Alexander Sá Rolim
,
Laercio Robles

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.

Resumo

Introdução O coronavírus pertence a uma família de vírus RNA que pode causar infecção respiratória com possibilidade de manifestações gastrintestinais em torno de 5% a 50% dos casos.

Objetivo Relatar caso operado com diagnóstico de COVID-19 e evolução com abdome agudo perfurativo e pneumotórax.

Relato do caso Paciente do sexo feminino de 80 anos com sintomas respiratórios com tosse seca e febre e dor abdominal difusa com sinais de peritonite. Apresentava leucocitose, disfunção renal e aumento de D-dímero com PCR positivo para COVID. Tomografia computadorizada de tórax e abdome demonstrando pneumotórax à direita e extenso pneumoperitànio.

Conclusão A apresentação do COVID-19 com sérias complicações pulmonar e abdominal requer tratamentos especializados e em regime de emergência, entretanto com altas taxas de mortalidade.

Work carried out at the Service of Coloproctology of the Department of General Surgery of Hospital Santa Marcelina, São Paulo, SP, Brazil.




Publication History

Received: 08 May 2020

Accepted: 10 May 2020

Publication Date:
08 March 2021 (online)

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