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Vedenin Yu.I.

Volgograd State Medical University

Oreshkin A.Yu.

Volgograd State Medical University

Kuchin D.A.

Volgograd State Medical University

Efanova V.A.

Volgograd State Medical University

Spontaneous idiopathic pneumoperitoneum in a patient with COVID-19

Authors:

Vedenin Yu.I., Oreshkin A.Yu., Kuchin D.A., Efanova V.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2022;(11): 73‑76

DOI: 10.17116/hirurgia202211173

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Table of contents

SPONTANEOUS IDIOPATHIC PNEUMOPERITONEUM IN A PATIENT WITH COVID-19
SPONTANEOUS IDIOPATHIC PNEUMOPERITONEUM IN A PATIENT WITH COVID-19

To cite this article:

Vedenin YuI, Oreshkin AYu, Kuchin DA, Efanova VA. Spontaneous idiopathic pneumoperitoneum in a patient with COVID-19. Pirogov Russian Journal of Surgery. 2022;(11):73‑76. (In Russ.)
https://doi.org/10.17116/hirurgia202211173

Подписка 2025-2 (Pirogov Russian Journal of Surgery)
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The authors present a patient with COVID-19 and spontaneous idiopathic pneumoperitoneum. A 77-year-old man suffering from coronary artery disease, diabetes mellitus and cognitive disorders was diagnosed with bilateral pneumonia and COVID-19. Oxygen support through a face mask was prescribed. After 21 days, oxygen saturation decrease and mild abdominal symptoms required CT-based examination. Pneumoperitoneum without pneumothorax and pneumomediastinum was revealed. Explorative laparotomy found no abdominal diseases. According to the literature, spontaneous pneumoperitoneum in patients with COVID-19 is usually associated with high pressure oxygen therapy, but not always associated with intrathoracic complications. Conservative treatment may be appropriate in patients with spontaneous pneumoperitoneum, but any unclear findings can require surgery.

Keywords:

pneumoperitoneum
spontaneous pneumoperitoneum
idiopathic pneumoperitoneum
laparotomy
COVID-19
SARS-CoV-2

Authors:

Vedenin Yu.I.

Volgograd State Medical University

Oreshkin A.Yu.

Volgograd State Medical University

Kuchin D.A.

Volgograd State Medical University

Efanova V.A.

Volgograd State Medical University

Received:

05.03.2022

Accepted:

06.04.2022

List of references:

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  2. Williams NM, Watkin DF. Spontaneous pneumoperitoneum and other nonsurgical causes of intraperitoneal free gas. Postgrad Med J. 1997;73(863):531-537.  https://doi.org/10.1136/pgmj.73.863.531
  3. Karaman A, Demirbilek S, Akin M, Gürünlüoğlu K, Irşi C. Does pneumoperitoneum always require laparotomy? Report of six cases and review of the literature (published correction appears in Pediatr Surg Int. 2006;22(3):303). Pediatr Surg Int. 2005;21(10):819-824.  https://doi.org/10.1007/s00383-005-1489-3
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  6. Gemio Del Rey IA, de la Plaza Llamas R, Ramia JM, Medina Velasco AA, Díaz Candelas DA. Neumoperitoneo espontáneo no quirúrgico en paciente COVID-19 positivo con neumonía bilateral severa (Non-surgical spontaneous pneumoperitoneum in a COVID-19 positive patient with severe bilateral pneumonia). Cir Esp. 2021;99(6):469-471.  https://doi.org/10.1016/j.ciresp.2020.05.030
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  10. Anosov VD, Krjuchkov GI, Rzhebaev KJe, Rogozhina LS. Pnevmoperitoneum u bol’nyh s novoj koronavirusnoj infekciej. Diagnostika i lechenie novoj koronavirusnoj infekcii. Organizacija raboty v uslovijah mnogoprofil’nogo stacionara: Rukovodstvo dlja vrachej. Pod red. Vechorko V.I. M.: Praktika; 2020;397-399. Accessed February 8, 2022. (In Russ.). https://www.elibrary.ru/download/elibrary_46280750_86562020.pdf https://doi.org/10.51833/9785898161804_397
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