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A Case of Spontaneous Multiple Abdominal Wall Hematomas in a COVID-19 Patient

Mohammad N Alzoubi1, Ikram Salameh1, Awni D Shahait2

  • 1General Surgery, The University of Jordan, Amman, JOR.

Cureus
|November 2, 2022
PubMed

Insights

Spontaneous abdominal wall hematomas, though rare, can occur after COVID-19 infection due to associated coagulopathy. This case highlights conservative management for multiple hematomas post-infection.

Area of Science:

  • Internal Medicine
  • Hematology
  • Infectious Diseases

Background:

  • Abdominal wall hematomas are uncommon but can result from trauma, procedures, anticoagulation, or spontaneous bleeding.
  • Symptoms range from abdominal pain to life-threatening hypovolemia and shock.
  • Coronavirus disease 2019 (COVID-19) is associated with coagulopathy, increasing risks of bleeding or thrombosis.

Observation:

  • A patient developed spontaneous multiple abdominal wall hematomas following a COVID-19 infection.
  • The patient presented with symptoms indicative of bleeding complications.

Findings:

  • The patient's condition was linked to coagulopathy potentially induced by COVID-19.
  • Multiple abdominal wall hematomas were diagnosed in the patient.

Implications:

  • This case underscores the potential for COVID-19-associated coagulopathy to manifest as spontaneous bleeding, such as abdominal wall hematomas.
  • Conservative management can be a viable approach for such cases.
  • Further research may be warranted to understand the spectrum of bleeding complications post-COVID-19.

Keywords:
abdominal wall hematomaacquired coagulopathyconservative managementcovid-19spontaneous hemorrhage

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