Cardiovascular Surgery and Interventions 2020, Vol 7, Num 3 Page(s): 186-189
A rare problem in a pregnant woman with COVID-19 pneumonia: Pneumomediastinum and subcutaneous emphysema

Esra Sultan Karabulut Keklik1, Hakan Dal1, Şahin Bozok2

1Department of Anesthesiology and Reanimation, Uşak University, Training and Research Hospital, Uşak, Turkey
2Department of Cardiovascular Surgery, Uşak University Faculty of Medicine, Uşak, Turkey

Keywords: Complication, computed tomography, coronavirus, COVID-19, pneumomediastinum, pneumonia, pregnant woman
Novel coronavirus disease-2019 (COVID-19) has affected millions of individuals within in a short period of time, resulting in hundreds of thousands of deaths, and has led to a crisis worldwide. A 22-year-old pregnant woman (32 weeks of gestation) was admitted to our clinic with a suspicion of COVID-19. Initially, radiological evaluation using computed tomography (CT) imaging was unable to be performed, as the patient refused imaging study; however, we were able to obtain CT following emergency cesarean section. On CT scan, pulmonary lesions were predominant at the lower zones and progressed to confluent bilateral consolidation with pneumomediastinum, confirming COVID-19 pneumonia and pneumomediastinum complications. In conclusion, although rare, spontaneous pneumomediastinum should be considered in COVID-19 infection.

DOI : 10.5606/e-cvsi.2020.906