Intraoperative coagulopathy during cesarean section as an unsuspected initial presentation of COVID-19: a case report.
BMC Pregnancy Childbirth
; 20(1): 481, 2020 Aug 24.
Article
in English
| MEDLINE | ID: covidwho-727268
ABSTRACT
BACKGROUND:
The world's understanding of COVID-19 continues to evolve as the scientific community discovers unique presentations of this disease. This case report depicts an unexpected intraoperative coagulopathy during a cesarean section in an otherwise asymptomatic patient who was later found to have COVID-19. This case suggests that there may be a higher risk for intrapartum bleeding in the pregnant, largely asymptomatic COVID-positive patient with more abnormal COVID laboratory values. CASE The case patient displayed D-Dimer elevations beyond what is typically observed among this hospital's COVID-positive peripartum population and displayed significantly more oozing than expected intraoperatively, despite normal prothrombin time, international normalized ratio, fibrinogen, and platelets.CONCLUSION:
There is little published evidence on the association between D-Dimer and coagulopathy among the pregnant population infected with SARS-CoV-2. This case report contributes to the growing body of evidence on the effects of COVID-19 in pregnancy. A clinical picture concerning for intraoperative coagulopathy may be associated with SARS-CoV-2 infection during cesarean sections, and abnormal COVID laboratory tests, particularly D-Dimer, may help identify the patients in which this presentation occurs.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pneumonia, Viral
/
Pregnancy Complications, Hematologic
/
Pregnancy Complications, Infectious
/
Blood Coagulation Disorders
/
Breech Presentation
/
Cesarean Section
/
Blood Loss, Surgical
/
Coronavirus Infections
Type of study:
Case report
/
Diagnostic study
/
Prognostic study
Language:
English
Journal:
BMC Pregnancy Childbirth
Journal subject:
Obstetrics
Year:
2020
Document Type:
Article
Affiliation country:
S12884-020-03140-2
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