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A case report on spontaneous hemoperitoneum in COVID-19 patient

INTRODUCTION: Coronavirus disease (COVID-19) is a global a pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Patients commonly present with respiratory tract symptoms and fever. However two third are asymptomatic and unusual presentation is evolving. This has cause man...

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Autores principales: Karki, Saurab, Rawal, Sushil Bahadur, Malla, Srijan, Rayamajhi, Jyoti, Thapa, Bikash Bikram
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7489338/
https://www.ncbi.nlm.nih.gov/pubmed/32959008
http://dx.doi.org/10.1016/j.ijscr.2020.09.078
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author Karki, Saurab
Rawal, Sushil Bahadur
Malla, Srijan
Rayamajhi, Jyoti
Thapa, Bikash Bikram
author_facet Karki, Saurab
Rawal, Sushil Bahadur
Malla, Srijan
Rayamajhi, Jyoti
Thapa, Bikash Bikram
author_sort Karki, Saurab
collection PubMed
description INTRODUCTION: Coronavirus disease (COVID-19) is a global a pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Patients commonly present with respiratory tract symptoms and fever. However two third are asymptomatic and unusual presentation is evolving. This has cause management dilemma among physicians. PRESENTATION OF CASE: A 35 year young otherwise healthy male presented to emergency department of this institute with fever of 103 °F, abdominal pain, and pancytopenia with progressive fall in hemoglobin level was tested positive for COVID-19. Contrast enhance computed tomography of the patient revealed hemoperitoneum with splenic infarct. He was admitted in intensive care unit and managed with supportive treatment. DISCUSSION: Respiratory and gastrointestinal symptoms with hematological abnormalities like lymphopenia, thrombocytopenia are common presentation of COVID-19. Although coagulopathy and vasculitis has been a well-documented entity in patients with COIVD-19, visceral infarction leading to spontaneous hemoperitoeum was unusual and rare clinical presentation. CONCLUSION: A high degree of clinical suspicion and thorough evaluation helps in the diagnosis of COVID-19 and related complications. The management of cases with unusual presentation requires judicious and careful approach.
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spelling pubmed-74893382020-09-15 A case report on spontaneous hemoperitoneum in COVID-19 patient Karki, Saurab Rawal, Sushil Bahadur Malla, Srijan Rayamajhi, Jyoti Thapa, Bikash Bikram Int J Surg Case Rep Case Report INTRODUCTION: Coronavirus disease (COVID-19) is a global a pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Patients commonly present with respiratory tract symptoms and fever. However two third are asymptomatic and unusual presentation is evolving. This has cause management dilemma among physicians. PRESENTATION OF CASE: A 35 year young otherwise healthy male presented to emergency department of this institute with fever of 103 °F, abdominal pain, and pancytopenia with progressive fall in hemoglobin level was tested positive for COVID-19. Contrast enhance computed tomography of the patient revealed hemoperitoneum with splenic infarct. He was admitted in intensive care unit and managed with supportive treatment. DISCUSSION: Respiratory and gastrointestinal symptoms with hematological abnormalities like lymphopenia, thrombocytopenia are common presentation of COVID-19. Although coagulopathy and vasculitis has been a well-documented entity in patients with COIVD-19, visceral infarction leading to spontaneous hemoperitoeum was unusual and rare clinical presentation. CONCLUSION: A high degree of clinical suspicion and thorough evaluation helps in the diagnosis of COVID-19 and related complications. The management of cases with unusual presentation requires judicious and careful approach. Elsevier 2020-09-14 /pmc/articles/PMC7489338/ /pubmed/32959008 http://dx.doi.org/10.1016/j.ijscr.2020.09.078 Text en © 2020 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Karki, Saurab
Rawal, Sushil Bahadur
Malla, Srijan
Rayamajhi, Jyoti
Thapa, Bikash Bikram
A case report on spontaneous hemoperitoneum in COVID-19 patient
title A case report on spontaneous hemoperitoneum in COVID-19 patient
title_full A case report on spontaneous hemoperitoneum in COVID-19 patient
title_fullStr A case report on spontaneous hemoperitoneum in COVID-19 patient
title_full_unstemmed A case report on spontaneous hemoperitoneum in COVID-19 patient
title_short A case report on spontaneous hemoperitoneum in COVID-19 patient
title_sort case report on spontaneous hemoperitoneum in covid-19 patient
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7489338/
https://www.ncbi.nlm.nih.gov/pubmed/32959008
http://dx.doi.org/10.1016/j.ijscr.2020.09.078
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