Spontaneous pneumomediastinum, pneumothorax, pneumoperitoneum and soft tissue emphysema as complication in patients with COVID-19, series of cases
https://doi.org/10.24835/10.24835/1607-0763-1086
Abstract
Spontaneous pneumomediastinum, pneumothorax, pneumoperitoneum, and soft tissue emphysema have been recently described in several sources as possible complications in patients with severe COVID-19 and lung damage. This clinical case is dedicated to demonstrarte the development of these lesions in 3 male patients with comorbid conditions. The putative pathophysiological mechanism of these complications is air leakage due to extensive diffuse alveolar damage followed by rupture of the alveoli. All presented patients had a favorable outcome of the disease without lethal cases, their laboratory data and clinical dynamics were described.
It should be noted that such conditions are not rare complications of COVID-19, and are observed mainly in male patients with severe form of the disease and the presence of comorbid conditions. Such complications are associated with long hospitalization and a severe prognosis. In some cases, with a mild course of the disease and positive dynamics in a decrease of the percentage of pulmonary lesions, the outcome is favorable, not requiring additional invasive interventions.
About the Authors
G. B. Nazarova
Medical Research and Education Center of Lomonosov Moscow State University; Faculty of Fundamental Medicine Lomonosov Moscow State University
Russian Federation
Russian Federation
Galina B. Nazarova – PhD Student at Radiology department; Radiologist at Radiology department with CT and MRI; Radiologist at Radiology department, St. Alexy Central Clinical Hospital
17, Vilnyusskaya str., 117574 Moscow
Phone: +7-906-032-94-35
27-10, Lomonosovsky prospekt, 119192 Moscow
E. A. Mershina
Medical Research and Education Center of Lomonosov Moscow State University; Faculty of Fundamental Medicine Lomonosov Moscow State University
Russian Federation
Russian Federation
Elena A. Mershina – Cand. of Sci. (Med.), Assistant Professor of Radiology department, Head of Radiology department
27-10, Lomonosovsky prospekt, 119192 Moscow
M. V. Lisitskaya
Medical Research and Education Center of Lomonosov Moscow State University; Faculty of Fundamental Medicine Lomonosov Moscow State University
Russian Federation
Russian Federation
Maria V. Lisitskaya – Cand. of Sci. (Med.), Radiologist at Radiology department
27-10, Lomonosovsky prospekt, 119192 Moscow
M. L. Plotnikova
Medical Research and Education Center of Lomonosov Moscow State University; Faculty of Fundamental Medicine Lomonosov Moscow State University
Russian Federation
Russian Federation
Maria L. Plotnikova – Radiologist at Radiology department
27-10, Lomonosovsky prospekt, 119192 Moscow
D. A. Bazhenova
Medical Research and Education Center of Lomonosov Moscow State University; Faculty of Fundamental Medicine Lomonosov Moscow State University
Russian Federation
Russian Federation
Daria A. Bazhenova – PhD Student at Radiology department; Radiologist at Radiology department with CT and MRI
27-10, Lomonosovsky prospekt, 119192 Moscow
P. S. Malakhov
Medical Research and Education Center of Lomonosov Moscow State University
Russian Federation
Russian Federation
Pavel S. Malakhov – Head of the Intensive Care department
27-10, Lomonosovsky prospekt, 119192 Moscow
References
1.
Review
For citations:
Nazarova G.B., Mershina E.A., Lisitskaya M.V., Plotnikova M.L., Bazhenova D.A., Malakhov P.S. Spontaneous pneumomediastinum, pneumothorax, pneumoperitoneum and soft tissue emphysema as complication in patients with COVID-19, series of cases. Medical Visualization. 2022;26(1):78-83. (In Russ.) https://doi.org/10.24835/10.24835/1607-0763-1086
Views:
822
Email this article 