Unpredictability of SARS-CoV-2: Pneumoperitoneum a rare complication Authors Hassan Ur Rehman Department of Internal Medicine, Pakistan Institute of Medical University, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan https://orcid.org/0000-0002-7406-8409 Ayesha Javed Department of Internal Medicine, Pakistan Institute of Medical University, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan https://orcid.org/0000-0002-2551-8733 Hawwa Ahmad Akhunzada Department of Internal Medicine, Pakistan Institute of Medical University, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan Nabeel Tariq Department of Internal Medicine, Pakistan Institute of Medical University, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan Nida Abbassi Department of Internal Medicine, Pakistan Institute of Medical University, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan DOI: https://doi.org/10.47391/JPMA.4000 Abstract COVID-19 is a viral disease caused by a novel coronavirus that ignited the ongoing pandemic in December 2019. The infected patients may be asymptomatic, have fever and myalgias, develop mild pulmonary symptoms or go into overt respiratory failure. There is also a significant number of patients with gastrointestinal and thromboembolic disease presentation and complications. Since respiratory features predominate, physicians might miss other systemic manifestations. Here, we present the case of a 62-year-old male who was admitted with COVID-19 pneumonia and later went into septic shock and then developed acute abdomen caused by small gut perforation. Keywords: COVID-19, Tocilizumab, gastrointestinal perforation (GI perforation), deep vein thrombosis. Author Biographies Ayesha Javed, Department of Internal Medicine, Pakistan Institute of Medical University, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan Medical officer, Isolation ward Covid-19, Department of Internal Medicine & Endocrinology/Diabetology Hawwa Ahmad Akhunzada, Department of Internal Medicine, Pakistan Institute of Medical University, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan Resident/Medical officer, Isolation ward Covid-19, Department of Internal Medicine & Endocrinology/Diabetology Nabeel Tariq, Department of Internal Medicine, Pakistan Institute of Medical University, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan Medical officer, Isolation ward Covid-19, Department of Internal Medicine & Endocrinology/Diabetology Nida Abbassi, Department of Internal Medicine, Pakistan Institute of Medical University, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan Resident/Medical officer, Isolation ward Covid-19, Department of Internal Medicine & Endocrinology/Diabetology Downloads Full Text Article Published 2022-09-15 How to Cite Rehman, H. U., Javed, A., Akhunzada, H. . A., Tariq, N., & Abbassi, N. (2022). Unpredictability of SARS-CoV-2: Pneumoperitoneum a rare complication. Journal of the Pakistan Medical Association, 72(10), 2108–2111. https://doi.org/10.47391/JPMA.4000 More Citation Formats ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver Download Citation Endnote/Zotero/Mendeley (RIS) BibTeX Issue Vol. 72 No. 10 (2022): OCTOBER Section CASE REPORT