Retroperitoneal hematoma in patients with COVID-19 infection during anticoagulant therapy: A case series and literature review
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....
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2022-09-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/03000605221119662 |
| _version_ | 1811209779406700544 |
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| author | Huriyeh Hashemi Hazhir Moradi Marzieh Hashemi Zohre Naderi Saleh Jafarpisheh |
| author_facet | Huriyeh Hashemi Hazhir Moradi Marzieh Hashemi Zohre Naderi Saleh Jafarpisheh |
| author_sort | Huriyeh Hashemi |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-12T04:44:37Z |
| format | Article |
| id | doaj.art-6627bb1df7a84322b6809a172fcb9072 |
| institution | Directory Open Access Journal |
| issn | 1473-2300 |
| language | English |
| last_indexed | 2024-04-12T04:44:37Z |
| publishDate | 2022-09-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj.art-6627bb1df7a84322b6809a172fcb90722022-12-22T03:47:32ZengSAGE PublishingJournal of International Medical Research1473-23002022-09-015010.1177/03000605221119662Retroperitoneal hematoma in patients with COVID-19 infection during anticoagulant therapy: A case series and literature reviewHuriyeh HashemiHazhir MoradiMarzieh HashemiZohre NaderiSaleh JafarpishehDue 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.https://doi.org/10.1177/03000605221119662 |
| spellingShingle | Huriyeh Hashemi Hazhir Moradi Marzieh Hashemi Zohre Naderi Saleh Jafarpisheh Retroperitoneal hematoma in patients with COVID-19 infection during anticoagulant therapy: A case series and literature review Journal of International Medical Research |
| title | Retroperitoneal hematoma in patients with COVID-19 infection during anticoagulant therapy: A case series and literature review |
| title_full | Retroperitoneal hematoma in patients with COVID-19 infection during anticoagulant therapy: A case series and literature review |
| title_fullStr | Retroperitoneal hematoma in patients with COVID-19 infection during anticoagulant therapy: A case series and literature review |
| title_full_unstemmed | Retroperitoneal hematoma in patients with COVID-19 infection during anticoagulant therapy: A case series and literature review |
| title_short | Retroperitoneal hematoma in patients with COVID-19 infection during anticoagulant therapy: A case series and literature review |
| title_sort | retroperitoneal hematoma in patients with covid 19 infection during anticoagulant therapy a case series and literature review |
| url | https://doi.org/10.1177/03000605221119662 |
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