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Abstract

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Article in Japanese

Case Report

Rectus sheath hematoma and abscess in a COVID-19 patient

Nobuyuki Kondoa  Ryo Sunoharaa  Ryo Yamamotoa  Madoka Toyodab  Shinsuke Hatorib  Yasuto Jinna 

aDepartment of Respiratory Medicine, Hiratsuka Kyosai Hospital
bDepartment of General Surgery, Hiratsuka Kyosai Hospital

ABSTRACT

A 51-year-old woman had respiratory failure owing to coronavirus disease 2019 (COVID-19) pneumonia and was treated using mechanical ventilation and extracorporeal membrane oxygenation (ECMO). Unfractionated heparin was initiated for the prophylaxis of thrombosis. Because her symptoms significantly improved, she was decannulated from ECMO and extubated. Five days after extubation, she complained of abdominal pain. Contrast-enhanced computed tomography (CECT) revealed a hematoma and an abscess in the left rectus abdominis muscle. She was successfully treated with surgical drainage and antibiotics. The early diagnosis of bleeding complications through CECT is essential in severe COVID-19 patients who receive anticoagulant therapy.

KEYWORDS

Coronavirus disease 2019 (COVID-19)  Rectus sheath hematoma  Rectus sheath abscess  Anticoagulant therapy 

Received 22 Oct 2021 / Accepted 17 Nov 2021

AJRS, 11(1): 21-24, 2022

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