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Published on: December 19, 2020
Spontaneous pulmonary hematoma in patients with COVID-19
C Lozano1, A González1, M Andreu1
1UDIAT-Centro Diagnóstico, Servicio de Diagnóstico por la Imagen, Parc Taulí Hospital Universitario, Instituto de Investigación e Innovación Parc Taulí (I3PT), Sabadell, Barcelona, Spain.
Insights
Two patients with COVID-19 developed spontaneous pulmonary hematoma while on anticoagulant therapy. This rare but serious complication requires consideration in managing these patients.
Area of Science:
- Medicine
- Pulmonology
- Hematology
Background:
- COVID-19 is a global pandemic with significant public health implications.
- Coagulation abnormalities are recognized complications of COVID-19, often leading to a prothrombotic state.
- Hemorrhagic complications, particularly in anticoagulated patients, have been reported in COVID-19 cases.
Purpose of the Study:
- To describe spontaneous pulmonary hematoma in patients with COVID-19 undergoing anticoagulant treatment.
- To raise awareness of this uncommon but significant complication.
Main Methods:
- Case report presentation of two patients with COVID-19.
- Review of clinical presentation and management of spontaneous pulmonary hematoma.
- Discussion of the interplay between COVID-19, anticoagulation, and hemorrhagic complications.
Main Results:
- Two cases of spontaneous pulmonary hematoma were identified in COVID-19 patients on anticoagulation.
- These cases highlight a potential hemorrhagic risk in this patient population.
Conclusions:
- Spontaneous pulmonary hematoma is an uncommon complication in anticoagulated COVID-19 patients.
- Clinicians should consider this diagnosis in the differential for bleeding events in these patients.
Abstract:
The disease caused by Sars-Cov-2 (Covid-19) has become a worldwide pandemic and consequently a public health problem. Multiple complications associated with Covid-19 have been described, including coagulation abnormalities. Although the infection is known to induce a prothrombotic state, hemorrhagic complications have also been reported in patients with Covid-19, especially in anticoagulated patients. We present two cases of spontaneous pulmonary hematoma in patients with Covid-19 undergoing anticoagulant treatment. We aim to describe this complication, which although uncommon, should be taken into account in anticoagulated patients with Covid-19.
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