Poggiali, Erika and Vercelli, Andrea and Demichele, Elena and Ioannilli, Eva and Magnacavallo, Andrea (2020) Diaphragmatic Rupture and Gastric Perforation in a Patient with COVID-19 Pneumonia. European Journal of Case Reports in Internal Medicine, 7 (6). pp. 1-3. ISSN ISSN: 2284-2594
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Abstract
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
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | COVID-19, pneumonia, gastric perforation, diaphragmatic rupture, acute chest pain |
| Subjects: | 600 Tecnologia - Scienze applicate 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) |
| Depositing User: | Marina Spanti |
| Date Deposited: | 14 Dec 2021 13:03 |
| Last Modified: | 14 Dec 2021 13:03 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/20901 |
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