Introduction: The Coronavirus belongs to a family of RNA viruses that can cause respiratory infection, with the possibility of gastrointestinal manifestations in approximately 5-50% of the cases Objective: To report a surgical case with a diagnosis of COVID-19 that developed acute perforated abdomen and pneumothorax Case report: This was an 80-year-old female patient with respiratory symptoms, with dry cough and fever and diffuse abdominal pain with signs of peritonitis She had leukocytosis, kidney dysfunction and an increase in D-dimer with positive PCR for COVID Computed tomography of the chest and abdomen showed pneumothorax on the right and extensive pneumoperitoneum Conclusion: The presentation of COVID-19 with severe pulmonary and abdominal complications requires specialized and emergency treatments, but it has high mortality rates Resumo Introdução: O coronavírus pertence a uma família de vírus RNA que pode causar infecção respiratória com possibilidade de manifestações gastrintestinais em torno de 5% a 50% dos casos Objetivo: Relatar caso operado com diagnóstico de COVID-19 e evolução com abdome agudo perfurativo e pneumotórax Relato do caso: Paciente do sexo feminino de 80 anos com sintomas respiratórios com tosse seca e febre e dor abdominal difusa com sinais de peritonite Apresentava leucocitose, disfunção renal e aumento de D-dímero com PCR positivo para COVID Tomografia computadorizada de tórax e abdome demonstrando pneumotórax à direita e extenso pneumoperitônio Conclusão: A apresentação do COVID-19 com sérias complicações pulmonar e abdominal requer tratamentos especializados e em regime de emergência, entretanto com altas taxas de mortalidade
Perforated acute abdomen in a patient with COVID-19: an atypical manifestation of the disease