Spontaneous rectus sheath hematoma in a patient with COVID-19 and chronic myeloid leukemia. A case report and literature review.
Revista de Cirugia
; 75(2):137-141, 2023.
Article
in Spanish
| EMBASE | ID: covidwho-2292865
ABSTRACT
Introduction:
Rectus sheath hematoma is a rare entity. This report presents a clinical case of a rectus sheath hematoma in a patient with COVID-19 pneumonia and chronic myeloid leukemia, along with a review of the literature. Case Report A 55-year-old male patient, hospitalized for COVID-19 pneumonia and chronic myeloid leukemia, presents with tachycardia and hypotension. Computed tomography shows a rectus sheath hematoma. Surgical management was performed to control bleeding and drainage of the hematoma. There were no postoperative complications or need for reoperation. Discussion(s) Hemorrhagic complications in patients with COVID-19 are seldomly reported. Bleeding is a possible complication in patients with chronic myeloid leukemia. It is important to take into account rectus sheath hematoma in patients with COVID-19 and/or chronic myeloid leukemia who present with abdominal pain, for early management by a multidisciplinary team. Conclusion(s) Active surveillance and a high index of suspicion are key to identifying potential bleeding complications in patients with COVID-19 and/or chronic myeloid leukemia.Copyright © 2023, Sociedad de Cirujanos de Chile. All rights reserved.
chronic myeloid leukemia; covid-19; epigastric arteries; rectus sheath hematoma; abdominal pain; active surveillance; adult; article; cancer patient; cancer surgery; case report; clinical article; complication; computer assisted tomography; coronavirus disease 2019; epigastric artery; hematoma; human; hypotension; male; middle aged; multidisciplinary team; postoperative complication; rectus abdominis muscle; reoperation; surgery; tachycardia
Full text:
Available
Collection:
Databases of international organizations
Database:
EMBASE
Type of study:
Case report
/
Reviews
Language:
Spanish
Journal:
Revista de Cirugia
Year:
2023
Document Type:
Article
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