Detection of SARS-CoV-2 in Peritoneal Fluid in Covid-19 Patient

Abstract

Background: The mechanisms of excretion of SARS-CoV-2 are actually mostly unknown. We report a case of detection of SARS-CoV-2 in peritoneal fluid in Covid-19 patient. Case presentation: A 73-year-old woman had emergency surgery for bowel obstruction. An oropharyngeal and peritoneal swab for SARS-CoV-2 virus was performed during admission. Both swabs were positive. Discussion: In the literature, in addition to ours, there is only one case of peritonal swab positive for SARS-CoV-2 in patient Covid-19. Conclusion: The presence of SARS-CoV-2 virus at peritoneal level suggests that Covid-19 infection is a systemic disease and that it is necessary to increase the level of consciousness and protection of surgical personnel, especially in emergency surgery situations.