Diaphragmatic Rupture and Gastric Perforation in a Patient with COVID-19 Pneumonia

Diaphragmatic Rupture and Gastric Perforation in a Patient with COVID-19 Pneumonia

Erika Poggiali, Andrea Vercelli, Andrea Magnacavallo, Eva Ioannilli, Elena Demichele

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.

2020

covid-19, pneumonia, Gastric perforation, diaphragmatic rupture, Acute Chest Pain

10.12890/2020_001738

Epidemiology and Health

Korean Society of Epidemiology

Medicine