Retroperitoneal Hemorrhage in Patients with COVID-19 Undergoing Hemodialysis: Three Case Reports

A 73-year-old man receiving hemodialysis and antiplatelets was admitted with a mild case of COVID-19. Heparin was added, and iliopsoas hemorrhage developed. He was successfully treated by interventional radiology. A 76-year-old man receiving hemodialysis and antiplatelets was admitted with mild COVI...

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Bibliographic Details
Published in:Internal Medicine 2022/06/15, Vol.61(12), pp.1869-1876
Main Authors: Oka, Hideaki, Homma, Yoshito, Nishino, Yuki, Suemori, Koichiro, Sato, Norio, Sakurai, Yuko, Sekimoto, Mizuki, Ando, Shota, Iwamoto, Saki, Iwamoto, Takaki, Kondo, Mika, Kamimura, Taro, Nakano, Toshiaki, Kitazono, Takanari
Format: Article
Language:English
Subjects:
anticoagulants
antiplatelet therapy
Case Report
Case reports
COVID-19
dialysis patients
Hemodialysis
Hemorrhage
Heparin
Internal medicine
Radiology
retroperitoneal hemorrhage
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Summary:A 73-year-old man receiving hemodialysis and antiplatelets was admitted with a mild case of COVID-19. Heparin was added, and iliopsoas hemorrhage developed. He was successfully treated by interventional radiology. A 76-year-old man receiving hemodialysis and antiplatelets was admitted with mild COVID-19. Heparin was added, and iliacus hemorrhage developed. Despite heparin discontinuation, he died of worsening pneumonia. A 74-year-old man undergoing hemodialysis was admitted with severe COVID-19. Gastrointestinal bleeding developed during continuous hemodiafiltration with heparin. Upon switching to nafamostat and increasing the dose, iliopsoas hemorrhage developed. Despite interventional radiology, he died of infectious complications. Attention to hemorrhagic complications is therefore needed in patients with COVID-19.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.8976-21