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Case Reports
. 2020 Nov 7:2020:8850739.
doi: 10.1155/2020/8850739. eCollection 2020.

Gastric Perforation with Omental Patch Repair: A Rare Complication of Pulmonary Resuscitation in COVID-19 Pneumonia

Vincent Marcucci  1 , Ratul Bhattacharyya  2 , Stephanie Yee  2 , Jamshed Zuberi  2 , Mark Ingram  2
Affiliations
Case Reports

Gastric Perforation with Omental Patch Repair: A Rare Complication of Pulmonary Resuscitation in COVID-19 Pneumonia

Vincent Marcucci et al. Case Rep Surg. .

Abstract

A 71-year-old male, diagnosed with coronavirus disease 2019 (COVID-19), was admitted to the medical-surgical floor for supportive treatment. The patient received bag-mask ventilation (BMV) secondary to severe hypoxia and reendotracheal intubation in the hospital on day eleven. A chest X-ray following reintubation noted concern for intra-abdominal air. Significant abdominal distention and subsequent diagnostic imaging showed pneumoperitoneum and a possible perforation of the stomach. The patient underwent an exploratory laparotomy with omental patching for a gastric perforation. Amidst the height of the COVID-19 pandemic, several important findings have been made through the disease sequelae of this individual patient.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
(a) CXR shows bilateral peripheral infiltrates. (b) Repeat CXR after 48 hrs demonstrating progressive lung infiltration.
Figure 2
Figure 2
Free air within the peritoneal space indicated by the red arrow.
See this image and copyright information in PMC

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