ABSTRACT
The authors present a patient with COVID-19 and spontaneous idiopathic pneumoperitoneum. A 77-year-old man suffering from coronary artery disease, diabetes mellitus and cognitive disorders was diagnosed with bilateral pneumonia and COVID-19. Oxygen support through a face mask was prescribed. After 21 days, oxygen saturation decrease and mild abdominal symptoms required CT-based examination. Pneumoperitoneum without pneumothorax and pneumomediastinum was revealed. Explorative laparotomy found no abdominal diseases. According to the literature, spontaneous pneumoperitoneum in patients with COVID-19 is usually associated with high pressure oxygen therapy, but not always associated with intrathoracic complications. Conservative treatment may be appropriate in patients with spontaneous pneumoperitoneum, but any unclear findings can require surgery.
Subject(s)
COVID-19 , Pneumoperitoneum , Humans , Male , Aged , Pneumoperitoneum/diagnosis , Pneumoperitoneum/etiology , Pneumoperitoneum/therapy , COVID-19/complications , Abdomen/surgery , Laparotomy/adverse effects , OxygenSubject(s)
COVID-19/therapy , Decompression/methods , Pneumoperitoneum/surgery , Pneumothorax/surgery , Adult , COVID-19/complications , COVID-19/diagnosis , Extracorporeal Membrane Oxygenation , Female , Humans , Pneumoperitoneum/diagnosis , Pneumoperitoneum/etiology , Pneumothorax/diagnosis , Pneumothorax/etiology , Positive-Pressure Respiration/adverse effects , SARS-CoV-2/isolation & purification , Thoracic Surgery, Video-Assisted , Tracheostomy , Treatment OutcomeSubject(s)
COVID-19 , Insufflation , Pneumoperitoneum , Humans , Injections, Intraperitoneal , Pneumoperitoneum/etiology , SARS-CoV-2Subject(s)
COVID-19 , Insufflation , Pneumoperitoneum , Humans , Injections, Intraperitoneal , Pneumoperitoneum/etiology , SARS-CoV-2ABSTRACT
In reference to the article by Láinez Ramos-Bossini AJ et al., recently published in your Journal, we would like to provide our experience regarding a probable causal association between pneumoperitoneum and pneumatosis intestinalis in patients affected by COVID-19 (1).
Subject(s)
COVID-19 , Pneumatosis Cystoides Intestinalis , Pneumoperitoneum , Humans , Incidental Findings , Pneumatosis Cystoides Intestinalis/complications , Pneumatosis Cystoides Intestinalis/diagnostic imaging , Pneumoperitoneum/diagnostic imaging , Pneumoperitoneum/etiology , SARS-CoV-2ABSTRACT
We read with great interest the letter from Pérez Naranjo et al. regarding the case we recently published in this journal. We believe that the case presented by the authors is undoubtedly useful as it contributes to the scarce existing casuistry on the relationship between COVID-19 and the development of pneumatosis/pneumoperitoneum. We would like to emphasize the difficulty of determining the causality of this association due to the frequent co-occurrence of other causes that could justify the presence of pneumatosis/pneumoperitoneum.