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Pneumoperitoneum in a COVID-19 Patient Due to the Macklin Effect.
Vidrio Duarte, Ramon; Vidrio Duarte, Eduardo; Gutierrez Ochoa, Juan; Gaviria Leiva, Maria Camila; Pimentel-Hayashi, Joaquin A.
  • Vidrio Duarte R; General Surgery, Hospital General de México "Dr. Eduardo Liceaga", Mexico City, MEX.
  • Vidrio Duarte E; General Surgery, Hospital Angeles Metropolitano, Mexico City, MEX.
  • Gutierrez Ochoa J; General Surgery, Hospital General de México "Dr. Eduardo Liceaga", Mexico City, MEX.
  • Gaviria Leiva MC; Department of Anaesthesiology, Hospital General de México "Dr. Eduardo Liceaga", Mexico City, MEX.
  • Pimentel-Hayashi JA; Allergy and Immunology, World Allergy Organization (WAO) Center of Excellence, Hospital Infantil de México Federico Gómez, Mexico City, MEX.
Cureus ; 13(2): e13200, 2021 Feb 07.
Article in English | MEDLINE | ID: covidwho-1084419
ABSTRACT
A 63-year-old male with coronavirus disease 2019 (COVID-19) pneumonia presented to the emergency department, supplementary oxygen is delivered via nasal cannula, and invasive ventilation was not needed; there was significant pneumoperitoneum on radiologic control. After a meticulous examination of the thoracic tomography, there were some linear air collections adjacent to the bronchovascular sheaths, indicative of the Macklin effect, without abdominal alterations, and the patient remained stable; therefore, we did not perform a surgical procedure, and the pneumoperitoneum reabsorbed spontaneously on radiologic control. The pulmonary origin of pneumoperitoneum is unusual and is associated with mechanical ventilation and alveolar leak; the air leak with subsequent dissection into other anatomical spaces is called the Macklin effect. It is essential to have this mechanism in mind because most of these patients respond well to conservative treatment. When studying primary pneumoperitoneum, the cause should be studied carefully to discard visceral perforation, tracheal or esophageal rupture.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Experimental Studies Language: English Journal: Cureus Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Experimental Studies Language: English Journal: Cureus Year: 2021 Document Type: Article