tetano
Editor, Senior Moderator
Int J Surg Case Rep
. 2020;75:211-213.
doi: 10.1016/j.ijscr.2020.09.078. Epub 2020 Sep 14.
A case report on spontaneous hemoperitoneum in COVID-19 patient
Saurab Karki[SUP] 1 [/SUP], Sushil Bahadur Rawal[SUP] 1 [/SUP], Srijan Malla[SUP] 1 [/SUP], Jyoti Rayamajhi[SUP] 1 [/SUP], Bikash Bikram Thapa[SUP] 1 [/SUP]
Affiliations
Abstract
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.
Keywords: Acute abdomen; COVID-19; Splenic infarction; Spontaneous hemoperitoneum.
. 2020;75:211-213.
doi: 10.1016/j.ijscr.2020.09.078. Epub 2020 Sep 14.
A case report on spontaneous hemoperitoneum in COVID-19 patient
Saurab Karki[SUP] 1 [/SUP], Sushil Bahadur Rawal[SUP] 1 [/SUP], Srijan Malla[SUP] 1 [/SUP], Jyoti Rayamajhi[SUP] 1 [/SUP], Bikash Bikram Thapa[SUP] 1 [/SUP]
Affiliations
- PMID: 32959008
- PMCID: PMC7489338
- DOI: 10.1016/j.ijscr.2020.09.078
Abstract
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.
Keywords: Acute abdomen; COVID-19; Splenic infarction; Spontaneous hemoperitoneum.