Conservative Management of Hollow Viscous Perforation in a Covid Patient

Abstract

Introduction: Perforation of Hollow viscous, indicated by pneumoperitoneum on imaging mandates abdominal exploration, Spontaneous perforation of hollow viscous, is usually seen in the first part of the duodenum. Very high mortality is seen and is usually associated with delayed presentation. Conservative management of hollow viscous perforation is reserved for patients with reassuring clinical findings. Not enough data has been published on management of hollow viscous perforation in covid positive cases presenting with peritonitis due to hollow vscous perforation. Aim: Presenting a case with hollow viscous perforation with Corads positive status (CORADS 5, CR severity), at Gadag institute of Medical sciences, Gadag, Karnataka India. Case Presentation: Here, we present a 41 year old male with acute onset of pain abdomen and abdominal distension for one day, diagnosed to be a case of hollow viscus perforation, with Covid19 positive status. He was resuscitated and managed conservatively with antibiotic coverage and symptomatic management of COVID19. Results: Full recovery of the patient after a period of 10 days hospital stay and uneventful discharge from the hospital followed. Conclusion: Prompt resuscitation, under the cover of antibiotics, and acid suppressants is an alternative to surgical therapy inacase of hollow vicous perforation with Covid 19 positive status with inoperability due to hemodynamic unstability.