Prague Med. Rep. 2021, 122, 300-307

https://doi.org/10.14712/23362936.2021.28

Spontaneous Multiple Haematomas in a Patient with Severe COVID-19 Fully Recovered with a Conservative Approach

Roya Alavi-Naini1, Farzaneh Gorgani1, Zohre Rahmati1, Saemeh Pourdehghan1, Maryam Keikha2, Zahra Farzad3

1Infectious Diseases and Tropical Medicine Research Center, Research Institute of Cellular and Molecular Sciences in Infectious Diseases, Zahedan University of Medical Sciences, Zahedan, Iran
2Department of Radiology, Children and Adolescents Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
3Medical Doctor, International Medical Graduate, Representative of the International Clinical Research Academy, Toronto, Canada

Received June 11, 2021
Accepted October 20, 2021

A significant number of hospitalized patients with COVID-19 are prone to thromboembolic events including deep vein thrombosis, pulmonary embolism, cerebrovascular accident, and myocardial infarction. However, some COVID-19 patients have a higher risk of bleeding that is associated with an increased risk of mortality. We report a 71-year-old woman who was a confirmed case of COVID-19 admitted for pulmonary involvement and complicated acute renal failure. During hospitalization, she suffered from a sudden onset of severe pain in the lower left abdomen as well as a sudden drop in blood pressure and hemoglobin. Haematomas in the left rectus and obturator internus muscle were observed in abdominal and pelvic computed tomography scan. Signs of haemorrhage were also seen in the anterolateral aspect of the bladder with extension to the paracolic, subdiaphragmatic, perihepatic and, perisplenic spaces. The patient was totally recovered by a conservative approach. Bleeding tendency could be a serious complication, especially, in COVID-19 patients with complicated renal failure that receive heparin prophylaxis.

References

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