Pneumothorax and pneumomediastinum unusual complications in patients with Covid-19 pneumonia - report of three cases and literature review

Kamceva, Gordana and Dokuzova, Stojka (2021) Pneumothorax and pneumomediastinum unusual complications in patients with Covid-19 pneumonia - report of three cases and literature review. Knowledge – International Journal, 44.2 (106). ISSN 2545-4439

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Abstract

Coronavirus 2019 (COVID-19) has rapidly spread worldwide. Numerous studies have shown typical and atypical CT findings of complications with COVID-19 pneumonia. As the pandemic progresses, the number of unusual presentation of the disease, such as pneumothorax and pneumomediastinum increases. Recent evidence suggests that these findings may occur in the context of COVID-19 pneumonia, even in the absence of mechanical ventilation – related barotrauma.
We present three patients with COVID-19 pneumonia complicated by pneumothorax or pneumomediastinum. The first patient was a 62-year-old man who developed COVID-19 pneumonia. His clinical course was complicated by a small pneumomediastinum that was treated conservatively. He had spontaneous resolution of the pneumomediastinum. The second patient is a 46-year-old man diagnosed with COVID-19 pneumonia who developed spontaneous massive pneumothorax, which was treated surgically with a thoracic drain. The third patient is a 77-year-old man with pneumonia and massive pneumothorax and surgically treated with a thoracic drain. None of our patients used invasive or non-invasive positive pressure ventilation or previously diagnosed respiratory disease.
We performed literature review of cases of COVID-19 pneumonia that developed pneumothorax, pneumomediastinum or both complications together. The probable cause of these events is severe alveolar damage. Thus, it is necessary to pay attention to these complications as early identification and management can reduce the associated morbidity and mortality.
Keywords: pneumothorax, pneumomediastinum, COVID-19 pneumonia

Item Type:	Article
Subjects:	Medical and Health Sciences > Clinical medicine
Divisions:	Faculty of Medical Science
Depositing User:	Gordana Kamceva
Date Deposited:	11 Mar 2021 12:11
Last Modified:	11 Mar 2021 12:11
URI:	https://eprints.ugd.edu.mk/id/eprint/27917

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