Research Article
Rectus Sheath Hematoma in COVID-19 Patients as a Mortal Complication: A Retrospective Report
| | Patient | BMI (kg/m2) | Past medical history | Laboratory findings | Anticoagulant | Complication | Admitted to | Outcome | | CRP | D-dimer | LDH | Regimen | Total received days | Total received dosage | Location of RSH | Size of RSH | Management | Total hospitalization stay | Final status |
| | A 78-year-old female | 27.34 | HTN | 99 | 1410 | 2300 | LMWH (therapeutic dose) | 14 | 60 daily | Unilateral massive RSH | Unclear | PRBC | ICU | 20 | Expired | | A 61-year-old female | 33.30 | None | 124 | NA | 1600 | LMWH (therapeutic dose) | 15 | 60 BD | Bilateral expanded to hypogastric zone and free fluid in the pelvic | 64∗89 mm | PRBC | ICU | 37 | Expired | | 59∗29 mm | | 76∗22 mm |
| | A 78-year-old female | 37.00 | IHD, HTN, and arrhythmia | 120 | 685 | 482 | UFH (prophylactic dose) | 5 | 5000 TDS | Unilateral massive RSH | Unclear | PRBC | ICU | 6 | Expired | | A 65-year-old female | 28.30 | DM | 71 | 2735 | 1183 | LMWH (therapeutic dose) | 10 | 60 BD | Infra oblique hematoma, expansion to pelvic with probable extravasation, and free fluid in the abdomen | Maximum size of 170∗155∗90 mm (150 cc) | PRBC, FFP, fibrinogen, and factor VІІ infusion | Ward, then ICU and cath lab | 13 | Expired | | An 83-year-old female | 20.60 | IHD and asthma | 12 | 1680 | 1580 | LMWH (therapeutic dose) | 7 | 60 BD | Massive bilateral RSH | maximum size of 130∗65 mm | PRBC | Ward | 7 | Expired | | A 43-year-old female | 29.74 | DM | 85 | 650 | 625 | LMWH (therapeutic dose) | 9 | 60 BD | Left unilateral RSH | 326∗92∗42 mm | Conservative | Ward, then ICU | 26 | Discharged | | A 67-year-old female | 25.39 | HTN and IHD | 142 | 540 | 465 | LMWH (therapeutic dose) | 14 | 60 BD | Retroperitoneal and hypogastric RSH with expansion to pelvic | 110∗108∗128 mm in size (790 cc) | PRBC and FFP infusion | Ward, then ICU | 20 | Discharged | | A 50-year-old female | 29.38 | HTN, DM, and MG | 110 | 970 | 766 | LMWH (therapeutic dose) | 10 | 60 BD | Bilateral RSH with expansion to latissimus dorsi | Maximum size of 134∗67 (330 cc) | PRBC and FFP infusion | Ward | 21 | Discharged | | A 62-year-old male | 19.60 | DM and KT | 68 | 450 | NA | UFH (prophylactic dose) | 5 | 5000 TDS | Retro rectus hematoma in latissimus dorsi and free fluid in the abdomen | Not lobulated, volume/size was not detectable | PRBC | Ward | 17 | Discharged |
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BMI: body mass index; HTN: hypertension; DM: diabetes mellitus; IHD: ischemic heart disease; MG: myasthenia gravis; KT: kidney transplant; CRP: C-reactive protein; LDH: lactic acid dehydrogenase; ICU: intensive care unit; UFH: unfractionated heparin; LMWH: low-molecular weight heparin (enoxaparin); BD: twice a day; TDS: three times a day; PRBC: packed red blood cell.
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