Pulmonary infarct in post COVID-19 period, complicated with spontaneous pneumothorax – case report.

Abstract

<b>Introduction:</b> Lung cavitation is a rare finding in COVID-19 patients (1, 2). The aim of this presentation is to report a rare case of cavitary aseptic pulmonary infarct in post-COVID-19 period that is complicated with spontaneous pneumothorax. <b>Case presentation:</b> A 63-year old woman was presented with acute onset of chest pain and on 35th day of COVID-19 infection. Chest X-Ray established right-sided total pneumothorax and tube thoracostomy was performed. Due to the persistent air leak computed tomography was performed on the 4th day of thoracostomy. Areas of lung consolidation with a cavitary mass with maximum diameter of 34 mm in the upper lobe were established (fig.1). The woman was scheduled for thoracoscopy and multiple petechiae on the lung surface with necrotic area (bronchopleural fistula) of the upper lobe were established. The procedure was converted to conventional operation with atypical resection of the upper lobe of the lung with removing the necrotic cavitary lesion. Histological examination of the resected lung specimen showed bland cavitary pulmonary infarct. <b>Conclusion:</b> This case presents one rare pathological condition in post COVID-19 period – blunt pulmonary cavitary infarct complicated with spontaneous pneumothorax. <b>