Left inferior epigastric artery injury in COVID-19 patient. Case report and literature review

INTRODUCTIONManagement of COVID-19 pneumonia cases is a medical challenge. However, the situation becomes worse if the patient has coexisting morbidities or newly developed complications. The study is about managing rectus sheath haematoma (RSH) in a patient with COVID-19 pneumonia. PRESENTATION OF...

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Bibliographic Details
Published in:International journal of surgery case reports 2020, Vol.76, p.415-420
Main Authors: Bakirov, Ifrat, Bakirova, Gultakin, Albalawi, Yousef, Asiri, Ayed Y, Faqihi, Fahad, Bakirli, Ilkin, Hammami, Dema, Bakirli, Hasan, Mandow, Najmeddin M
Format: Report
Language:English
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Summary:INTRODUCTIONManagement of COVID-19 pneumonia cases is a medical challenge. However, the situation becomes worse if the patient has coexisting morbidities or newly developed complications. The study is about managing rectus sheath haematoma (RSH) in a patient with COVID-19 pneumonia. PRESENTATION OF CASEThe patient was a 75-year-old male, presenting with bilateral COVID-19 pneumonia, with pulmonary embolism complications. Therapeutic anticoagulation by subcutaneous Clexane injection was administered. A left rectus haematoma was observed, and the patient fell and underwent haemorrhagic shock. Laparotomy was done for the evacuation of the haematoma. DISCUSSIONContrast-enhanced computed tomography (CECT) is an essential tool for diagnosing RSH, identifying the source of bleeding, type of haematoma, and compression of the urinary system. CONCLUSIONSurgical management of RSH in COVID-19 patients is superior to interventional radiology during the rush pandemic period.
ISSN:2210-2612
2210-2612
DOI:10.1016/j.ijscr.2020.09.198