Spontaneous Pneumoperitoneum: A Pathology Not Always Surgical. Presentation of Two Documented Cases in Patients in Association with SARS-CoV-2 Infection
DOI:
https://doi.org/10.22516/25007440.1084Keywords:
Pneumoperitoneum, non-surgical, COVID-19, SARS-CoV-2, viral pneumonia, pneumatosis cystoides intestinalisAbstract
The finding of pneumoperitoneum has traditionally been a surgical emergency–indicative of gastrointestinal tract disruption requiring immediate surgical exploration; however, there are conditions involving non-surgical management. There were two cases of pneumoperitoneum in association with viral pneumonia (severe acute respiratory syndrome type 2 coronavirus [SARSCoV-2]) without a history of intestinal pneumatosis or another risk factor for spontaneous pneumoperitoneum that obtained a favorable outcome without surgical intervention. This is the second report of concurrent pneumoperitoneum and coronavirus disease of 2019 (COVID-19) in the literature. A brief review of this relationship and more recent data between pneumoperitoneum and the pathophysiological mechanism of SARS-CoV-2 was also included. This paper seeks to expand knowledge with these two cases to rethink, in part, the surgical dogma of pneumoperitoneum management and to lead the reader further from the pathophysiology point of view.
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