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Spontaneous giant rectus sheath hematoma in patients with COVID-19: two case reports and literature review

INTRODUCTION: Coronavirus disease 2019, COVID-19, as a global public health emergency, has come with a broad spectrum of clinical manifestations and complications. In this study, we present a unique complication of this disease. PRESENTATION OF CASES: (A) A 65-year-old woman with a known case of COV...

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Autores principales: Nematihonar, Behzad, Qaderi, Shohra, Shah, Jaffer, Bagherpour, Javad zebarjadi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8300980/
https://www.ncbi.nlm.nih.gov/pubmed/34301186
http://dx.doi.org/10.1186/s12245-021-00366-5
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author Nematihonar, Behzad
Qaderi, Shohra
Shah, Jaffer
Bagherpour, Javad zebarjadi
author_facet Nematihonar, Behzad
Qaderi, Shohra
Shah, Jaffer
Bagherpour, Javad zebarjadi
author_sort Nematihonar, Behzad
collection PubMed
description INTRODUCTION: Coronavirus disease 2019, COVID-19, as a global public health emergency, has come with a broad spectrum of clinical manifestations and complications. In this study, we present a unique complication of this disease. PRESENTATION OF CASES: (A) A 65-year-old woman with a known case of COVID-19; on the second day of admission, the patient presented sudden tachycardia and hypogastric pain; on abdomen physical examination, a huge lower abdominal tender mass was noticed. (B) A 50-year-old woman with COVID-19, 4 days after admission, started complaining of tachycardia, pain, and mass in the lower abdomen. On abdomen physical examination, a huge lower abdominal tender mass was noticed. Both of the patients underwent an abdomen CT scan which confirmed a huge rectus sheath hematoma (RSH). Both of the patients underwent angioembolization of the inferior epigastric artery. The patient recovered completely and no evidence of further expansion was seen after 2 weeks of follow-up. DISCUSSION: Hemorrhagic issues in COVID-19 patients remain poorly understood. Physicians should discuss risks of RSH in patients where continuous anticoagulation therapy will be reinstated. With increased clinician awareness of the need for RSH screening in COVID-19 patients with acute abdominal pain, the interprofessional team of healthcare providers can maximize patient safety and reduce hospitalization time, especially in high-risk patients at risk for unnecessary surgery. CONCLUSIONS: These two reports and literature review demonstrate the need of active surveillance for possible hemorrhagic complications in patients with COVID-19 infection.
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spelling pubmed-83009802021-07-26 Spontaneous giant rectus sheath hematoma in patients with COVID-19: two case reports and literature review Nematihonar, Behzad Qaderi, Shohra Shah, Jaffer Bagherpour, Javad zebarjadi Int J Emerg Med Case Report INTRODUCTION: Coronavirus disease 2019, COVID-19, as a global public health emergency, has come with a broad spectrum of clinical manifestations and complications. In this study, we present a unique complication of this disease. PRESENTATION OF CASES: (A) A 65-year-old woman with a known case of COVID-19; on the second day of admission, the patient presented sudden tachycardia and hypogastric pain; on abdomen physical examination, a huge lower abdominal tender mass was noticed. (B) A 50-year-old woman with COVID-19, 4 days after admission, started complaining of tachycardia, pain, and mass in the lower abdomen. On abdomen physical examination, a huge lower abdominal tender mass was noticed. Both of the patients underwent an abdomen CT scan which confirmed a huge rectus sheath hematoma (RSH). Both of the patients underwent angioembolization of the inferior epigastric artery. The patient recovered completely and no evidence of further expansion was seen after 2 weeks of follow-up. DISCUSSION: Hemorrhagic issues in COVID-19 patients remain poorly understood. Physicians should discuss risks of RSH in patients where continuous anticoagulation therapy will be reinstated. With increased clinician awareness of the need for RSH screening in COVID-19 patients with acute abdominal pain, the interprofessional team of healthcare providers can maximize patient safety and reduce hospitalization time, especially in high-risk patients at risk for unnecessary surgery. CONCLUSIONS: These two reports and literature review demonstrate the need of active surveillance for possible hemorrhagic complications in patients with COVID-19 infection. Springer Berlin Heidelberg 2021-07-23 /pmc/articles/PMC8300980/ /pubmed/34301186 http://dx.doi.org/10.1186/s12245-021-00366-5 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Nematihonar, Behzad
Qaderi, Shohra
Shah, Jaffer
Bagherpour, Javad zebarjadi
Spontaneous giant rectus sheath hematoma in patients with COVID-19: two case reports and literature review
title Spontaneous giant rectus sheath hematoma in patients with COVID-19: two case reports and literature review
title_full Spontaneous giant rectus sheath hematoma in patients with COVID-19: two case reports and literature review
title_fullStr Spontaneous giant rectus sheath hematoma in patients with COVID-19: two case reports and literature review
title_full_unstemmed Spontaneous giant rectus sheath hematoma in patients with COVID-19: two case reports and literature review
title_short Spontaneous giant rectus sheath hematoma in patients with COVID-19: two case reports and literature review
title_sort spontaneous giant rectus sheath hematoma in patients with covid-19: two case reports and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8300980/
https://www.ncbi.nlm.nih.gov/pubmed/34301186
http://dx.doi.org/10.1186/s12245-021-00366-5
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