Life-Threatening Retroperitoneal Hematoma in a Patient with COVID-19

COVID-19 is a respiratory illness that affects the human body in many different ways. The disease carries both thrombotic and hemorrhagic complications, especially in those patients who are anticoagulated to prevent the thromboembolic manifestations. In this report, we discuss a case of retroperiton...

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Main Authors: Monarch Shah, John Paul Colombo, Sanya Chandna, Haris Rana
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2021/8774010
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author Monarch Shah
John Paul Colombo
Sanya Chandna
Haris Rana
author_facet Monarch Shah
John Paul Colombo
Sanya Chandna
Haris Rana
author_sort Monarch Shah
collection DOAJ
description COVID-19 is a respiratory illness that affects the human body in many different ways. The disease carries both thrombotic and hemorrhagic complications, especially in those patients who are anticoagulated to prevent the thromboembolic manifestations. In this report, we discuss a case of retroperitoneal hemorrhage in a patient treated with therapeutic anticoagulation which ultimately led to the patient’s death. The literature highlights the importance of anticoagulation because it reduces mortality in patients hospitalized with COVID-19. Although, more recent studies suggest that patients treated with therapeutic anticoagulation are at a higher risk of hemorrhage and increased mortality. Therefore, our case stresses the importance of active monitoring of these patients to detect any suspected case of hemorrhage early to reduce mortality. Overall, more research should be conducted to determine the optimal dosing of anticoagulation that balances safety and efficacy.
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institution Kabale University
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series Case Reports in Hematology
spelling doaj-art-021bb1fb1f3d4f178c27935664337c672025-02-03T01:28:54ZengWileyCase Reports in Hematology2090-65792021-01-01202110.1155/2021/8774010Life-Threatening Retroperitoneal Hematoma in a Patient with COVID-19Monarch Shah0John Paul Colombo1Sanya Chandna2Haris Rana3Department of Internal MedicineDepartment of Internal MedicineDepartment of Internal MedicineDepartment of Pulmonary and Critical Care MedicineCOVID-19 is a respiratory illness that affects the human body in many different ways. The disease carries both thrombotic and hemorrhagic complications, especially in those patients who are anticoagulated to prevent the thromboembolic manifestations. In this report, we discuss a case of retroperitoneal hemorrhage in a patient treated with therapeutic anticoagulation which ultimately led to the patient’s death. The literature highlights the importance of anticoagulation because it reduces mortality in patients hospitalized with COVID-19. Although, more recent studies suggest that patients treated with therapeutic anticoagulation are at a higher risk of hemorrhage and increased mortality. Therefore, our case stresses the importance of active monitoring of these patients to detect any suspected case of hemorrhage early to reduce mortality. Overall, more research should be conducted to determine the optimal dosing of anticoagulation that balances safety and efficacy.http://dx.doi.org/10.1155/2021/8774010
spellingShingle Monarch Shah
John Paul Colombo
Sanya Chandna
Haris Rana
Life-Threatening Retroperitoneal Hematoma in a Patient with COVID-19
Case Reports in Hematology
title Life-Threatening Retroperitoneal Hematoma in a Patient with COVID-19
title_full Life-Threatening Retroperitoneal Hematoma in a Patient with COVID-19
title_fullStr Life-Threatening Retroperitoneal Hematoma in a Patient with COVID-19
title_full_unstemmed Life-Threatening Retroperitoneal Hematoma in a Patient with COVID-19
title_short Life-Threatening Retroperitoneal Hematoma in a Patient with COVID-19
title_sort life threatening retroperitoneal hematoma in a patient with covid 19
url http://dx.doi.org/10.1155/2021/8774010
work_keys_str_mv AT monarchshah lifethreateningretroperitonealhematomainapatientwithcovid19
AT johnpaulcolombo lifethreateningretroperitonealhematomainapatientwithcovid19
AT sanyachandna lifethreateningretroperitonealhematomainapatientwithcovid19
AT harisrana lifethreateningretroperitonealhematomainapatientwithcovid19