Perforated acute abdomen in a patient with COVID-19: an atypical manifestation of the disease
Isaac José Felippe Corrêa Neto, K. F. Viana, Milena Braga Soares da Silva, Leandro Mariano da Silva, Gustavo de Oliveira, Ângelo Rossi da Silva Cecchini, Alexander de Sá Rolim, Laércio Robles
Abstract
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.