Unpredictability of SARS-CoV-2: Pneumoperitoneum a rare complication

Authors

  • Hassan Ur Rehman Department of Internal Medicine, Pakistan Institute of Medical University, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan https://orcid.org/0000-0002-7406-8409
  • Ayesha Javed Department of Internal Medicine, Pakistan Institute of Medical University, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan https://orcid.org/0000-0002-2551-8733
  • Hawwa Ahmad Akhunzada Department of Internal Medicine, Pakistan Institute of Medical University, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan
  • Nabeel Tariq Department of Internal Medicine, Pakistan Institute of Medical University, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan
  • Nida Abbassi Department of Internal Medicine, Pakistan Institute of Medical University, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan

DOI:

https://doi.org/10.47391/JPMA.4000

Abstract

COVID-19 is a viral disease caused by a novel coronavirus that ignited the ongoing pandemic in December 2019. The infected patients may be asymptomatic, have fever and myalgias, develop mild pulmonary symptoms or go into overt respiratory failure. There is also a significant number of patients with gastrointestinal and thromboembolic disease presentation and complications. Since respiratory features predominate, physicians might miss other systemic manifestations. Here, we present the case of a 62-year-old male who was admitted with COVID-19 pneumonia and later went into septic shock and then developed acute abdomen caused by small gut perforation.

Keywords: COVID-19, Tocilizumab, gastrointestinal perforation (GI perforation), deep vein thrombosis.

Author Biographies

Ayesha Javed, Department of Internal Medicine, Pakistan Institute of Medical University, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan

Medical officer, Isolation ward Covid-19, Department of Internal Medicine & Endocrinology/Diabetology

Hawwa Ahmad Akhunzada, Department of Internal Medicine, Pakistan Institute of Medical University, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan

Resident/Medical officer, Isolation ward Covid-19, Department of Internal Medicine & Endocrinology/Diabetology

Nabeel Tariq, Department of Internal Medicine, Pakistan Institute of Medical University, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan

Medical officer, Isolation ward Covid-19, Department of Internal Medicine & Endocrinology/Diabetology

Nida Abbassi, Department of Internal Medicine, Pakistan Institute of Medical University, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan

Resident/Medical officer, Isolation ward Covid-19, Department of Internal Medicine & Endocrinology/Diabetology

Published

2022-09-15

How to Cite

Rehman, H. U., Javed, A., Akhunzada, H. . A., Tariq, N., & Abbassi, N. (2022). Unpredictability of SARS-CoV-2: Pneumoperitoneum a rare complication. Journal of the Pakistan Medical Association, 72(10), 2108–2111. https://doi.org/10.47391/JPMA.4000

Issue

Section

Case Report