COVID-19 is an unpredictable disease that can lead to multiorgan dysfunctions. There is a high frequency of venous and arterial thrombosis, among other symptoms,. Spontaneous bleeding in COVID-19 patients has also been described, but rarely, whether or not they are on anticoagulant therapy. We report a case of a 65-year-old female COVID-19 patient treated in our hospital. During the hospitalisation, she experienced sudden, severe pain in the lower part of the abdomen and had signs of hemorrhagic shock. CT of the abdomen and pelvis revealed a spontaneous giant haematoma of the anterior abdominal wall. A surgical procedure was done. We identified spontaneous bleeding in the muscles of the anterior abdominal wall. The patient recovered well. Rapid diagnosis and timely intervention are crucial to ensure a good patient outcome.
Introduction. Gallstone ileus is a complete or partial mechanical bowel
obstruction due to gallstone impaction in the bowel lumen and most commonly
occurs after stones migrate through the cholecystoenteric fistula. Case
outline. We present a patient with signs of gallstone ileus after stone
migration through the cholecystoduodenal fistula into the duodenum with
hematemesis as the first symptom. Conservative treatment has been started,
to which the patient initially responds well. On the eighth day from the
onset of the disease, the condition worsens. Signs of the Riegler triad are
identified on computed tomography and magnetic resonance imaging of the
abdomen. Enterolytotomy was successfully performed by open surgical method.
Postoperative recovery is orderly, without any biliary problems.
Conclusion. Physical examination, upper endoscopy, and radiological
diagnostic procedures are complementary and necessary in monitoring the
dynamics of stone movement and deciding on when to perform surgery.
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