Hematoma of the rectus abdominis sheath in the course of COVID-19

Authors

Keywords:

abdominal pain, hematoma, anticoagulants.

Abstract

Introduction: Spontaneous abdominal wall hematoma is a rare clinical entity in medical practice. In the context of COVID-19, intra-abdominal hematoma presented as a complication of the imposed therapy and was not taken into consideration when making the differential diagnosis of abdominal pain and arterial hypotension. ]
Objective: To report the appearance of rectus abdominis sheath hematoma as a complication of the use of anticoagulants in the course of COVID-19 treatment.
Clinical case: A 71-year-old patient with COVID-19 is presented who was receiving anticoagulant treatment and began with acute abdominal pain, with abdominal ultrasound that was inconclusive, laparotomy was performed and a large hematoma was found in the abdominal Retzius space. She evolved favourably and is discharged after 7 days.
Conclusions: The trans-operative diagnosis together with the drainage of the hematoma and the opportune fluid therapy allowed a favourable evolution and the recovery of the patient.

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Author Biographies

Jorge Felix Nuñez Martinez, Hospital Militar Dr Mario Muñoz Monrroy

Especialista de 2do grado en Medicina Intensiva y Emergencias.

Especialista 1er grado en Medicina interna.

Master en Urgencias Medicas.

Profesor Asistente de Medicina Interna.

Catherine Madruga Vasquez, Hospital Militar Dr Mario Muñoz Monrroy

Especialista de 2do grado en Medicina Intensiva y Emergencias.

Especialista 1er grado en Medicina interna.

Master en Urgencias Medicas.

Iliana Bouza Denis, Hospital Pediatrico Provincial ¨Eliseo Noel Caamaño¨ de Matanzas

Especialista de 2do grado en Pediatria.

Departamento de Enfermedades Respiratorias.

Profesora asistente

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Published

2023-01-01

How to Cite

1.
Nuñez Martinez JF, Madruga Vasquez C, Bouza Denis I. Hematoma of the rectus abdominis sheath in the course of COVID-19. Rev Cubana Med Milit [Internet]. 2023 Jan. 1 [cited 2024 Dec. 28];52(1):e02302193. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/2193

Issue

Vol. 52 No. 1 (2023): January - March

Section

Case Presentation

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