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All Journal Jurnal Matematika Sains dan Teknologi Wahana Dedikasi : Jurnal PkM Ilmu Kependidikan JURNAL SIPISSANGNGI: Jurnal Pengabdian Kepada Masyarakat Innovative: Journal Of Social Science Research International Journal of Multidisciplinary Approach Research and Science JISH (Jurnal Ilmu Syariah dan Hukum)
Bulkis Bulkis
Jurusan Fisika FMIPA UNM
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Pneumoperitoneum Pada Pasien Covid-19: Laporan Kasus Hidayat, Imam; Latief, Shofiyah; Bulkis, Bulkis
Innovative: Journal Of Social Science Research Vol. 5 No. 2 (2025): Innovative: Journal Of Social Science Research
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v5i2.17621

Abstract

Background: Pneumoperitoneum is a serious medical condition characterized by the presence of air or gas in the peritoneal cavity. This phenomenon often requires immediate surgical intervention, although some cases can be non-surgical. In the context of COVID-19, pneumoperitoneum may emerge as an unusual complication that requires in-depth understanding of its mechanisms for appropriate management. Case Presentation: The case of a 63-year-old man with COVID-19 and spontaneous pneumoperitoneum without evidence of visceral perforation is reported. Patients underwent radiological examinations including X-ray and CT scan for diagnosis and monitoring, while management was carried out conservatively without surgical intervention. The examination revealed pneumoperitoneum with signs of Macklin effect without evidence of organ perforation. The patient was maintained with oxygen via nasal cannula, and recovery was marked by resorption of the pneumoperitoneum and clinical improvement within seven days. No further complications were found, and the patient was successfully removed.Conclusion: Pneumoperitoneum in COVID-19 patients can occur without organ perforation, known as non-surgical spontaneous pneumoperitoneum. Mechanisms involving the Macklin effect and high oxygen pressure are the main factors. Conservative management can be a safe and effective approach in cases without surgical indications. Further studies are needed to understand these complications in depth, especially in relation to COVID-19.
Co-Authors Abdul Latif Aminuyati Anfas, Anfas Arifuddin, Qadriani Arismunandar Arismunandar Asdar Asdar Fatwa, Nurhalis Fausiah, Andi Hamzah, Ibnu Khasman Khurniawan HR, Muhammad Adam Husain, Saddam Latief, Shofiyah Muhammad Adam HR Muhammad Amrullah Pagala Mustofa, Mustafa Rakasiwi, Fajar Resmi Resmi Salmah Salmah Saputra, Muslim Syahrinullah, Syahrinullah Syamsuddin, Fajar Rakasiwi Thamrin, Saddam Husain Ulfah, St. Maria