Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Retroperitoneal Hematoma in Patients With Covid-19 Infection During Anticoagulant Therapy: A Case Series and Literature Review Publisher Pubmed



Hashemi H1 ; Moradi H2 ; Hashemi M1 ; Naderi Z1 ; Jafarpisheh S3
Authors
Show Affiliations
Authors Affiliations
  1. 1. Department of Internal Medicine, Isfahan University of Medical Science, Isfahan, Iran
  2. 2. Isfahan Students Research Committee, Medical School, Isfahan University of Medical Science, Isfahan, Iran
  3. 3. Department of Radiology, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Journal of International Medical Research Published:2022


Abstract

Due to the hypercoagulable status of patients with severe COVID-19 infection, anticoagulants are often used to prevent thrombosis. However, these agents may cause bleeding events such as retroperitoneal hematoma (RPH). We report here on six patients with COVID-19 who developed RPH during treatment. Early evidence of bleeding led to confirmatory diagnosis with imaging. Four patients recovered with supportive treatment (IV fluids and blood transfusions) and two patients recovered by angioembolization. RPH should be considered in COVID patients on anticoagulants as soon as haemoglobin or blood pressure falls. Further studies are required to provide guidance and recommendations on use of anticoagulants in critically ill patients with COVID-19. © The Author(s) 2022.
Related Docs
View other Related Docs
1. Covid-19-Associated Coagulopathy: A Concise Review on Pathogenesis and Clinical Implications, Infezioni in Medicina (2021)
2. A Review of Pathophysiological Mechanism, Diagnosis, and Treatment of Thrombosis Risk Associated With Covid-19 Infection, IJC Heart and Vasculature (2022)
3. Catastrophic Retroperitoneal Hemorrhage in Covid-19 Patients Under Anticoagulant Prophylaxis, Urology Case Reports (2021)
4. Anticoagulation Therapy in Covid-19 Patients With Chronic Kidney Disease, Journal of Research in Medical Sciences (2021)
5. Covid-19 Pneumonia and Pulmonary Embolism: Presentation of Four Cases, Indian Journal of Critical Care Medicine (2020)
6. On-Admission Versus In-Hospital Thromboembolism Due to Covid-19 Infection. What Is the Particular Characteristic of Those With Early Thrombotic Events?, Advances in Respiratory Medicine (2021)
7. Thrombotic Storm in Coronavirus Disease 2019: From Underlying Mechanisms to Its Management, Journal of Medical Microbiology (2022)
8. Decompensated Csirrhosis and Covid 19; Report of Two Cases, Middle East Journal of Digestive Diseases (2022)
Experts (# of related papers)
View all Related Experts
Somayeh Sadeghi (3)
Peiman Nasri (2)
Other Related Docs
9. An Investigation to Find the Correlation Between Lupus Anticoagulant and Coagulation Abnormalities in Covid-19 Patients; a Narrative Review, Journal of Nephropathology (2024)
10. Anticoagulant Therapy During Cardiopulmonary Bypass, Journal of Thrombosis and Thrombolysis (2008)
11. Skin Manifestations As Potential Symptoms of Diffuse Vascular Injury in Critical Covid-19 Patients, Journal of Cutaneous Pathology (2021)
12. Bleeding Diathesis or Prothrombotic State, Which One Predict the Covid-19 Prognosis in Pregnancy?, Journal of Obstetrics, Gynecology and Cancer Research (2021)
13. Evaluation of the Association Between Antiphospholipid Antibodies and Icu Admission Outcome in Critically Ill Covid-19 Patients in Iranian Population, International Journal of Preventive Medicine (2022)
14. Efficacy of Plasmapheresis in Neutropenic Patients Suffering From Cytokine Storm Because of Severe Covid-19 Infection, Blood Research (2023)
15. Evaluation of Rivaroxaban Versus Warfarin for the Treatment of Cerebral Vein Thrombosis: A Case-Control Blinded Study, Current Journal of Neurology (2021)
16. Examining the Frequency of Endoscopic Findings in Patients With Covid-19 With Upper Gastrointestinal Bleeding Referred to Al-Zahra Hospital of Isfahan; [بررسی فراوانی یافته‌های آندوسکوپی در بیماران مبتلا به کووید 19 مراجعه‌کننده با خونریزی گوارشی فوقانی به بیمارستان الزهرا (س) اصفهان], Tehran University Medical Journal (2022)
17. A Mini-Review on Cardiovascular and Hematological Complications of Covid-19, Coronaviruses (2021)
18. On Admission Hemoglobin and Albumin, As the Two Novel Factors Associated With Thrombosis in Covid-19 Pneumonia, Journal of Renal Injury Prevention (2022)
19. A Review of Coronary Artery Thrombosis: A New Challenging Finding in Covid-19 Patients and St-Elevation Myocardial Infarction, Current Problems in Cardiology (2021)
20. Case Report: Acute Intracardiac Thrombosis in Children With Coronavirus Disease 2019 (Covid-19), Frontiers in Pediatrics (2021)
21. Acquired Hemophilia in a Patient With Sars-Cov-2 Infection; a Case Report, Journal of Nephropharmacology (2022)
22. Post Covid-19 Splenic Infarction With Limb Ischemia: A Case Report, Annals of Medicine and Surgery (2021)
23. A Systematic Review on Post-Discharge Venous Thromboembolism Prophylaxis in Patients With Covid-19, Egyptian Heart Journal (2023)