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Empyema With an Extensive Retroperitoneal Abscess After the First Dose of the Covid-19 Vaccine, a Case Report Publisher



Yazdi SAM1 ; Eshraghi N2 ; Mirzaei S3 ; Nazar E4
Authors
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Authors Affiliations
  1. 1. Department of Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Students’ Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Radiology, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Pathology, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran

Source: International Journal of Surgery Case Reports Published:2023


Abstract

Introduction: The most common side effects were mild pain at the injection site and fever after the COVID-19 vaccination. A retroperitoneal abscess is a rare disorder with a deceptive onset and difficult diagnosis. It has various reasons and is related to a high mortality rate. Case presentation: A 29-year-old man with a recent history of first-dose Covid-19 vaccination, was referred for dyspnea, chest, and abdominal pain. Chest imaging revealed a lung abscess evacuated to pleural space. Left posterolateral thoracotomy surgery was done. Post-operation abdominopelvic imaging revealed increased fat stranding and fluid collection, suggesting retroperitoneal infection and abscess formation and the patient underwent drainage. Clinical discussion: Common side effects after COVID-19 vaccination were mild and expectable without hospitalization. But in our case, a rare complicated side effect was seen. Conclusion: Uncommon side effects should be observed to recognize whether they are related to the vaccine or not. © 2023 The Author(s)
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