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Revista Cubana de Medicina Militar
versión On-line ISSN 1561-3046
Resumen
NUNEZ MARTINEZ, Jorge Félix; MADRUGA VASQUEZ, Catherine y BOUZA DENIS, Iliana. Hematoma of the rectus abdominis sheath in the course of COVID-19. Rev. cuban. med. mil. [online]. 2023, vol.52, n.1 Epub 01-Mar-2023. ISSN 1561-3046.
Introduction:
Spontaneous abdominal wall hematoma is a rare clinical entity in medical practice. In the context of COVID-19, intra-abdominal hematoma presented as a complication of the imposed therapy and was not taken into consideration when making the differential diagnosis of abdominal pain and arterial hypotension.
Objective:
To report the appearance of rectus abdominis sheath hematoma as a complication of the use of anticoagulants in the course of COVID-19 treatment.
Clinical case:
A 71-year-old patient with COVID-19 is presented who was receiving anticoagulant treatment and began with acute abdominal pain, with abdominal ultrasound that was inconclusive, laparotomy was performed and a large hematoma was found in the abdominal Retzius space. She evolved favourably and is discharged after 7 days.
Conclusions:
The trans-operative diagnosis together with the drainage of the hematoma and the opportune fluid therapy allowed a favourable evolution and the recovery of the patient.
Palabras clave : abdominal pain; hematoma; anticoagulants.