RESUMO
Coronavirus Disease 2019 (COVID-19) predominantly involves the respiratory system and shows a wide range of severity. There is a growing body of evidence about the occurrence of thromboembolic events in COVID-19. Case Report: We report the case of a 48-year-old female patient who presented with sudden-onset abdominal pain. Physical examination revealed ascites and tender hepatomegaly. Subsequently, abdominal computed tomography was performed which revealed thrombosis in the hepatic vein and inferior vena cava in keeping with Budd-Chiari Syndrome. The patient was started on low-molecular-weight heparin and supportive care. Clinical improvement was observed over the course of the treatment and the patient was discharged after 10 days from the presentation. Thromboembolic events could be the first manifestation of COVID-19. Early recognition of these complications is crucial for prompt management.
RESUMO
Endometriosis is defined as the presence of endometrial glands and stroma outside the uterine cavity. Endometriosis may involve a wide spectrum of anatomic locations, but it typically involves pelvic locations. We report the case of a 45-year-old woman who presented with a history of abdominal pain and swelling. She first noticed the swelling eight months prior to presentation, and it had gradually progressed in size. The patient reported that the swelling increased in size during menses. Physical examination revealed a well-defined firm mass to the right of the midline. The mass had a smooth surface but limited mobility after abdominal wall muscle contraction, suggesting an infiltration of the underlying muscular structures. The findings demonstrated by computed tomography of the abdomen confirmed the diagnosis of abdominal wall endometrioma. The patient underwent successful resection of the lesion with complete resolution of her symptoms.
