• Annals of surgery · Sep 2020

    Case Reports

    SARS-CoV-2 Is Present in Peritoneal Fluid in COVID-19 Patients.

    • Federico Coccolini, Dario Tartaglia, Adolfo Puglisi, Cesira Giordano, Mauro Pistello, Marianna Lodato, and Massimo Chiarugi.
    • General, Emergency and Trauma Surgery dept., Pisa University Hospital, Pisa, Italy.
    • Ann. Surg. 2020 Sep 1; 272 (3): e240e242e240-e242.

    BackgroundThe excretion pathomechanisms of SARS-CoV-2 are actually unknown. No certain data exist about viral load in the different body compartments and fluids during the different disease phases.Material And MethodsSpecific real-time reverse transcriptase-polymerase chain reaction targeting 3 SARS-CoV-e genes were used to detect the presence of the virus.ResultsSARS-CoV-2 was detected in peritoneal fluid at a higher concentration than in respiratory tract.ConclusionDetection of SARS-CoV-2 in peritoneal fluid has never been reported. The present article represents the very first positive result describing the presence of the virus in peritoneal fluid during an emergency surgical procedure in a COVID-19 sick patient. This article thus represents a warning for increasing the level of awareness and protection for surgeon especially in emergency surgical setting.Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.

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