COVID-19 pneumonia and double whammy: let us stick to the basics

Pneumomediastinum and pulmonary embolism are known complications of the COVID-19 disease. Our patient developed spontaneous pneumomediastinum twice during hospital admission along with acute pulmonary embolism. We managed this patient conservatively sticking to the basics of critical care and had a successful outcome. In our extensive literature search, we could not find any other case in which a patient with COVID-19 not on mechanical ventilation developed spontaneous pneumomediastinum twice during the hospital admission which was successfully managed conservatively.