Utomo Sri Andreani, Notopuro Francisca, Rosalina Shinta
Departement of Radiology, Dr. Soetomo General Hospital, Airlangga University, Surabaya, Indonesia.
Departement of Radiology, National Hospital, Surabaya, Indonesia.
Radiol Case Rep. 2021 Aug;16(8):2133-2138. doi: 10.1016/j.radcr.2021.05.002. Epub 2021 May 9.
We should be aware of the uncommon presentation during the pandemic scenario of the Coronavrus disease 2019 (COVID-19). Pneumothorax, pneumomediastinum, pneumoperitoneum, and massive emphysema subcutis are uncommon complications of COVID-19 Pneumonia. The presence of pneumomediastinum and massive emphysema subcutis were rarely reported in the literature. We present a 69-year-old man with COVID-19 Pneumonia with these complications who were managed conservatively and experienced spontaneous resolution of the complications two weeks later. He was admitted to the intensive care unit and was given a ventilator. Pneumonia, massive emphysema subcutis, pneumomediastinum, and pneumothorax are identified from chest X-ray. An Unenhanced thoraco-abdominal computed tomography Scan revealed the presence of a small pneumoperitoneum. However, a computed tomography scan of the abdomen and pelvis did not show any evidence of bowel perforation. It is necessary to detect these complications earlier, so the management can reduce the associated morbidity and mortality.
我们应该意识到2019冠状病毒病（COVID-19）大流行期间的不常见表现。气胸、纵隔气肿、气腹和广泛性皮下气肿是COVID-19肺炎的不常见并发症。纵隔气肿和广泛性皮下气肿的存在在文献中鲜有报道。我们报告一例69岁患有COVID-19肺炎并伴有这些并发症的男性患者，该患者接受了保守治疗，两周后并发症自行缓解。他被收入重症监护病房并接受了机械通气。胸部X线检查发现有肺炎、广泛性皮下气肿、纵隔气肿和气胸。未增强的胸腹部计算机断层扫描显示存在少量气腹。然而，腹部和骨盆的计算机断层扫描未显示任何肠穿孔的迹象。有必要更早地发现这些并发症，以便治疗能够降低相关的发病率和死亡率。
