Major Bleeding Complications in COVID-19 Patients

Boira, Ignacio; Esteban, Violeta; Vañes, Sandra; Castelló, Carmen; Celis, Carly; Chiner, Eusebi

doi:10.7759/cureus.16816

Cited by 18 publications

(22 citation statements)

References 11 publications

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“…Current evidence shows that bleeding in patients with severe COVID-19 pneumonia is not only due to anticoagulation treatment, but also due to microvascular damage. 9 In line with our findings, some previous reports showed major bleeding events in critically ill patients with COVID-19 which ranged between 4.8% and 18%. 10,11 In comparison to recent reports, 12,13 current study showed a lower prevalence of thrombotic events.…”

Section: Discussionsupporting

confidence: 92%

Bleeding and thrombotic complications in patients with severe COVID‐19: A prospective observational study

Helmy

Milad

Hasanin

et al. 2022

Health Science Reports

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Section: Discussionsupporting

confidence: 92%

Bleeding and thrombotic complications in patients with severe COVID‐19: A prospective observational study

Helmy

Milad

Hasanin

et al. 2022

Health Science Reports

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“…While thrombotic events usually occur in the first week of acute infection, after 10th day of COVID-19, tendency for bleeding mechanisms begins to outweigh. 13 This case, unusually, presented with hematoma, just after the symptoms began. The unusual situation of tendency for bleeding at the beginning of the infection does not overlap with current knowledge and philosophy of clotting mechanisms behind COVID-19.…”

Section: Discussionmentioning

confidence: 87%

Unexpected tendency to bleeding in COVID-19 patients: A case of spontaneous retroperitoneal hematoma

Tanal¹,

Celayir

Kale

2021

SAGE Open Medical Case Reports

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While COVID-19 pandemic has become an enormous and devastating pandemic for today’s world, studies on the morbidity of the disease mainly show the disease’s progress with pneumonia and thromboembolic pathologies. In this disease with a predisposition to thromboembolism, findings of nontraumatic focused hemorrhages are unexpected. As spontaneous retroperitoneal hematoma is a serious condition with the absence of symptoms, creating a challenge for diagnosis, it should also be considered in COVID-19 which is thought to be predisposed to thromboembolism. Here, a 47-year-old woman with COVID-19 pneumonia diagnosis (diagnosed by computed tomography (CT) scan and approved by nasopharyngeal swab test) is presented with spontaneous retroperitoneal hematoma, and its management is reported. This case highlights the importance of considering both thromboembolic events and bleeding in cases with COVID-19 positivity. The balance between two sides of clotting mechanisms needs to be understood with novel research.

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“…Nevertheless, the main symptom was abdominal pain, and bleeding into the muscles should always be taken into account when diagnosing COVID-19 patients with abdominal pain. In the literature review, we found two reports of bleeding events in the abdominal muscles in a patient in the course of COVID-19 upon anticoagulant treatment [ 15 , 16 ].…”

Section: Discussionmentioning

confidence: 99%

Bleeding into the Abdominal and Ilio-Lumbar Muscles—A Rare Complication in the Course of COVID-19: Analysis of Four Cases and a Literature Review

Mackiewicz−Milewska

Sakwińska

Cisowska-Adamiak

et al. 2022

JCM

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The risk of venous thromboembolic (VTE) complications, mainly in the form of pulmonary embolism (PE) and deep vein thrombosis (DVT), in COVID-19 is well known, necessitating the administration of thrombotic prophylaxis in most patients. With a high risk of VTE complications or their presence, full anticoagulation may be associated with hemorrhagic complications. COVID-19 bleeding is rarely reported. Here, we present four cases of patients with muscle bleeding: two in the iliopsoas muscle, which resulted in death despite the embolization of the bleeding vessel, and two in the oblique and straight abdominal muscles, which were treated conservatively. In the reported cases, the severity of the bleeding coincided with the severity of the course of COVID-19. When observing a sudden drop in hemoglobin (Hb) in a patient with COVID-19, one must always remember the possible complications in the form of muscle bleeding, which can be fatal.

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Major Bleeding Complications in COVID-19 Patients

Cited by 18 publications

References 11 publications

Bleeding and thrombotic complications in patients with severe COVID‐19: A prospective observational study

Bleeding and thrombotic complications in patients with severe COVID‐19: A prospective observational study

Unexpected tendency to bleeding in COVID-19 patients: A case of spontaneous retroperitoneal hematoma

Bleeding into the Abdominal and Ilio-Lumbar Muscles—A Rare Complication in the Course of COVID-19: Analysis of Four Cases and a Literature Review

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