Diaphragmatic Rupture and Gastric Perforation in a Patient with COVID-19 Pneumonia.
COVID-19
acute chest pain
diaphragmatic rupture
gastric perforation
pneumonia
Journal
European journal of case reports in internal medicine
ISSN: 2284-2594
Titre abrégé: Eur J Case Rep Intern Med
Pays: Italy
ID NLM: 101648453
Informations de publication
Date de publication:
2020
2020
Historique:
received:
20
05
2020
accepted:
25
05
2020
entrez:
12
6
2020
pubmed:
12
6
2020
medline:
12
6
2020
Statut:
epublish
Résumé
We describe the case of a young female patient admitted to our emergency department during the Italian COVID-19 epidemic, for fever and dry cough associated with symptoms of gastric reflux over the previous 5 days. Lung ultrasound showed diffuse bilateral B lines with irregular pleural thickening, and consolidation with air bronchogram and slight pleural effusion in the lower left lobe. Chest HRCT and abdominal CT scanning with contrast revealed diaphragmatic rupture with gastric perforation, and atelectasis of the left pulmonary lobe with unilateral pleural effusion, diffuse ground-glass opacities and multiple small consolidations in both lobes. A nasopharyngeal swab for 2019-nCoV was positive. A diagnosis of diaphragmatic rupture and gastric perforation in COVID-19 pneumonia was made. The patient was immediately hospitalized and surgically treated. Treatment for COVID-19 and empiric antibiotic therapy were promptly started. Coronavirus disease (COVID-19) can cause fever, dry cough and acute respiratory failure.Cough can result in several complications, including rupture of the diaphragm and abdominal herniation.CT scanning is the gold standard technique to investigate COVID-19 pneumonia and diaphragmatic rupture.
Identifiants
pubmed: 32523933
doi: 10.12890/2020_001738
pii: 1738-1-13777-1-10-20200527
pmc: PMC7279906
doi:
Types de publication
Journal Article
Langues
eng
Pagination
001738Informations de copyright
© EFIM 2020.
Déclaration de conflit d'intérêts
Conflicts of Interests: The Authors declare that there are no competing interests.
Références
Radiology. 2020 Apr;295(1):202-207
pubmed: 32017661
Am J Emerg Med. 1984 Nov;2(6):513-7
pubmed: 6529465
Radiology. 2020 Jun;295(3):E6
pubmed: 32167853
World J Emerg Surg. 2006 Nov 24;1:34
pubmed: 17125506
Acta Biomed. 2020 May 11;91(2):137-145
pubmed: 32420937
J Thorac Imaging. 2000 Apr;15(2):104-11
pubmed: 10798629
Radiol Case Rep. 2019 Nov 08;15(1):15-18
pubmed: 31737139
Radiology. 2020 Jun;295(3):715-721
pubmed: 32053470