Introduction: Management of COVID-19 pneumonia cases is a medical challenge. However, the situation becomes worse if the patient has coexisting morbidities or newly developed complications. The study is about managing rectus sheath haematoma (RSH) in a patient with COVID-19 pneumonia.
Presentation Of Case: The patient was a 75-year-old male, presenting with bilateral COVID-19 pneumonia, with pulmonary embolism complications. Therapeutic anticoagulation by subcutaneous Clexane injection was administered. A left rectus haematoma was observed, and the patient fell and underwent haemorrhagic shock. Laparotomy was done for the evacuation of the haematoma.
Discussion: Contrast-enhanced computed tomography (CECT) is an essential tool for diagnosing RSH, identifying the source of bleeding, type of haematoma, and compression of the urinary system.
Conclusion: Surgical management of RSH in COVID-19 patients is superior to interventional radiology during the rush pandemic period.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7533056 | PMC |
| http://dx.doi.org/10.1016/j.ijscr.2020.09.198 | DOI Listing |
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