Laparoscopic surgery is the standard of care for various abdominal pathologies due to apparent advantages. Nevertheless, the initial steps of the Veress needle or trocar are inserted blindly in laparoscopic surgeries, which may cause major vascular, bowel, or urinary tract injuries. We report two cases of vascular laparoscopic entry injuries.

A 35 years old female presented to the ED with severe pain and right thigh discharge for 2 days. She gave a history of chickenpox 2 weeks ago and received ibuprofen for excruciating pain. She was immediately diagnosed with necrotizing fasciitis and shock.

This is a case of an elderly female with comorbidities and a history of cardiac transplant 13 years back, presented with diarrhea and diagnosed with COVID-19. She was hospitalized and found to have a cardiac injury and urinary tract infection, treated with antibiotics, antivirals, immunosuppressives, and required non-invasive ventilatory support.

Tension pneumomediastinum (TPM) is a rare but potentially fatal clinical entity. This leads to leakage of air into the mediastinal cavity and increased pressure on thoracic vessels, respiratory tract, and the heart. We report a series of five cases of COVID-19 complicating into acute respiratory distress syndrome and developing TPM.