Spontaneous pneumoperitoneum as an uncommon presentation of COVID-19 pneumonia. A case report.

10.17605/OSF.IO/E5ZFA

 

Barlandas-Quintana E, Pherez-Farah M, Jaramillo-Cuenca V, Chávez-Hernández AF, Ríos-Muñoz B. Spontaneous pneumoperitoneum as an uncommon presentation of COVID-19 pneumonia. A case report. Am J Med Surg. August 2021; 5(1). 14-17.

 

BACKGROUND. Pneumoperitoneum is described as the presence of free air in the abdominal cavity. It’s a common entity, which leads to numerous emergency surgical interventions; most of which are justified, while others may be unnecessary. We report a case of a 59-year-old man, with no pathological history, admitted under the diagnosis of SARS-COV-2 pneumonia, requiring invasive mechanical ventilation, who presented pneumoperitoneum and intestinal pneumatosis. A diagnostic laparoscopy was performed, with no intraoperative findings that could explained it. He had a satisfactory evolution after surgery. The thoracic origin of pneumoperitoneum is mainly related to invasive mechanical ventilation; therefore, during the new pandemic of COVID-19, this radiological finding could appear in patients with positive-pressure ventilation management. When having a patient with SARS-CoV-2, the decision of perform a surgical procedure should be carefully considered. Consequently, surgeons should choose carefully those emergency procedures who need surgical intervention in association with this pathology.

 

KEY WORDS: COVID-19, SARS-CoV-2, pneumoperitoneum