Diaphragmatic rupture in case of COVID-19 pneumonia- A rare presentation

We describe the case of a male patient admitted to our emergency department during the COVID-19 pandemic with complaints of fever, severe breathlessness and dry cough associated with symptoms of gastric reflux for 5 days. Chest HRCT showed subtle multiple areas of diffuse patchy opacities with groun...

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Main Authors: Aditya Chawla, Gaurav Chaudhary, Primal Sachdeva, Madhav K Chawla, Rakesh K Chawla
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Lung India
Subjects:
Online Access:http://www.lungindia.com/article.asp?issn=0970-2113;year=2022;volume=39;issue=4;spage=371;epage=373;aulast=Chawla
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author Aditya Chawla
Gaurav Chaudhary
Primal Sachdeva
Madhav K Chawla
Rakesh K Chawla
author_facet Aditya Chawla
Gaurav Chaudhary
Primal Sachdeva
Madhav K Chawla
Rakesh K Chawla
author_sort Aditya Chawla
collection DOAJ
description We describe the case of a male patient admitted to our emergency department during the COVID-19 pandemic with complaints of fever, severe breathlessness and dry cough associated with symptoms of gastric reflux for 5 days. Chest HRCT showed subtle multiple areas of diffuse patchy opacities with ground-glass haze with associated left subdiaphragmatic hernia and atelectasis of the left pulmonary lobe. Barium meal revealed subdiaphragmatic hernia. A nasopharyngeal swab for 2019-nCoV was positive. A diagnosis of diaphragmatic hernia in COVID-19 pneumonia was made. To our knowledge, spontaneous herniation of the diaphragm is a rare entity. Treatment for COVID-19 and empiric antibiotic therapy were promptly started and a decision of elective surgery was made.
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spelling doaj.art-4f590d2eda9346c0b2cef77dbce948412022-12-22T04:02:24ZengWolters Kluwer Medknow PublicationsLung India0970-21130974-598X2022-01-0139437137310.4103/lungindia.lungindia_336_21Diaphragmatic rupture in case of COVID-19 pneumonia- A rare presentationAditya ChawlaGaurav ChaudharyPrimal SachdevaMadhav K ChawlaRakesh K ChawlaWe describe the case of a male patient admitted to our emergency department during the COVID-19 pandemic with complaints of fever, severe breathlessness and dry cough associated with symptoms of gastric reflux for 5 days. Chest HRCT showed subtle multiple areas of diffuse patchy opacities with ground-glass haze with associated left subdiaphragmatic hernia and atelectasis of the left pulmonary lobe. Barium meal revealed subdiaphragmatic hernia. A nasopharyngeal swab for 2019-nCoV was positive. A diagnosis of diaphragmatic hernia in COVID-19 pneumonia was made. To our knowledge, spontaneous herniation of the diaphragm is a rare entity. Treatment for COVID-19 and empiric antibiotic therapy were promptly started and a decision of elective surgery was made.http://www.lungindia.com/article.asp?issn=0970-2113;year=2022;volume=39;issue=4;spage=371;epage=373;aulast=Chawlacovid-19pneumoniasubdiaphragmatic hernia
spellingShingle Aditya Chawla
Gaurav Chaudhary
Primal Sachdeva
Madhav K Chawla
Rakesh K Chawla
Diaphragmatic rupture in case of COVID-19 pneumonia- A rare presentation
Lung India
covid-19
pneumonia
subdiaphragmatic hernia
title Diaphragmatic rupture in case of COVID-19 pneumonia- A rare presentation
title_full Diaphragmatic rupture in case of COVID-19 pneumonia- A rare presentation
title_fullStr Diaphragmatic rupture in case of COVID-19 pneumonia- A rare presentation
title_full_unstemmed Diaphragmatic rupture in case of COVID-19 pneumonia- A rare presentation
title_short Diaphragmatic rupture in case of COVID-19 pneumonia- A rare presentation
title_sort diaphragmatic rupture in case of covid 19 pneumonia a rare presentation
topic covid-19
pneumonia
subdiaphragmatic hernia
url http://www.lungindia.com/article.asp?issn=0970-2113;year=2022;volume=39;issue=4;spage=371;epage=373;aulast=Chawla
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AT primalsachdeva diaphragmaticruptureincaseofcovid19pneumoniaararepresentation
AT madhavkchawla diaphragmaticruptureincaseofcovid19pneumoniaararepresentation
AT rakeshkchawla diaphragmaticruptureincaseofcovid19pneumoniaararepresentation