Open AccessPOSSIBILITIES OF DIAGNOSIS AND SURGICAL TREATMENT OF COMPLICATIONS OF VIRAL LUNG DAMAGE IN COVID-19
Author(s) -
А. А. Сушко,
N. I. Prokopchik,
A. O. Olejnik
Publication year - 2021
Publication title -
žurnal grodnenskogo gosudarstvennogo medicinskogo universiteta
Language(s) - English
Resource type - Journals
eISSN - 2413-0109
pISSN - 2221-8785
DOI - 10.25298/2221-8785-2021-19-1-112-118
Subject(s) - medicine , differential diagnosis , pneumothorax , bronchopleural fistula , pneumonia , complication , lung , covid-19 , radiology , viral pneumonia , presentation (obstetrics) , fistula , surgery , pathology , pneumonectomy , disease , infectious disease (medical specialty)
The article presents description of our own observation of a clinical case of severe viral infection caused by SARS- CoV-2 complicated by bilateral polysegmental pneumonia, complete bronchocutaneous fistula in a patient born in 1961. Brief information about the features of pathogenesis, clinical presentation, differential diagnosis and surgical treatment of pulmonary complications of this pathology according to modern literary data is presented. The study of the given clinical case indicates that the most important component of differential diagnosis of lung lesions with SARS-CoV-2 virus is laboratory diagnosis and high-resolution multispiral computed tomography. Pneumothorax and pyopnevothorax are a severe complication of COVID-19. However, in persistent bronchopleural fistula, it is necessary to continue active surgical treatment when it is clinically possible, performing minimally traumatic interventions.