Dengue fever with rectus sheath hematoma: A case report

Sharma, Anurag; Bhatia, Sonia; Singh, Rajendra; Malik, Gaurav

doi:10.4103/2249-4863.137665

Cited by 8 publications

(9 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The risk of developing rectus sheath haematoma is greater when having a background history of trauma, straining, coughing, pregnancy and abdominal surgery [16]. Rarely, rectus sheath haematomas have also been documented complicating dengue viral fever [14, 17]. Though conservative management is adequate in most circumstances with the cessation of anticoagulation, when complicated with haemodynamic instability supportive care coupled with blood transfusion may become necessary [11, 15].…”

Section: Discussionmentioning

confidence: 99%

Bilateral rectus sheath haematoma complicating dengue virus infection in a patient on warfarin for mechanical aortic valve replacement: a case report

et al. 2017

View full text Add to dashboard Cite

BackgroundThe management of Dengue virus infection can be challenging. Varied presentations and numerous complications intrinsic to dengue by itself increase the complexity of treatment and potential mortality. When burdened with the presence of additional comorbidities and the need to continue compulsory medications, clear stepwise definitive guidance is lacking and patients tend to have more complex complications and outcomes calling to question the clinical decisions that may have been taken. The use and continuation of warfarin in dengue virus infection is one such example.Case presentationWe report a 65 year old South Asian female who presented with dengue fever. She had a history bronchial asthma, a prior abdominal surgery, and was on warfarin and maintained a therapeutically appropriate internationalized normalized ratio for a mechanical aortic valve replacement. Though preemptive decision to stop warfarin was taken with decreasing platelet counts, her clinical course was complicated with the development of bilateral rectus sheath haematoma’s requiring resuscitation with blood transfusions.ConclusionThough management of dengue viral fever has seen drastic evolution with recent updated guidance, clinical scenarios seen in the course of the illness still pose challenges to the managing physician. The need to continue obligatory anticoagulation which may seem counterintuitive during a complex disease such as dengue virus infection must be considered after understanding the potential risks versus that of its benefits. Though case by case decisions maybe warranted, a clear protocol would be very helpful in making clinical decisions, as the correct preemptive decision may potentially avert catastrophic and unpredictable bleeding events.

show abstract

Section: Discussionmentioning

confidence: 99%

Bilateral rectus sheath haematoma complicating dengue virus infection in a patient on warfarin for mechanical aortic valve replacement: a case report

et al. 2017

View full text Add to dashboard Cite

show abstract

“…MRI is more superior than CT scan in the determination of the age of the hematoma aside from obtaining information about the extent and size of hematoma. Our patient presented with a hematoma located within the muscle but bleeding occurred into the space between the transversalis fascia and the muscle [9] , [10] . Conservative treatment including intravenous hydration, blood transfusion and strict monitoring are appropriate in most of the settings with abdominal wall hematomas as the hematoma is usually self- limiting and completely reabsorbed.…”

Section: Discussionmentioning

confidence: 80%

Spontaneous rectus sheath hematomas in dengue hemorrhagic fever: A case report

Nelwan

Angelina

Adiwinata

et al. 2017

IDCases

View full text Add to dashboard Cite

Muscle hematomas are rare complications in dengue hemorrhagic fever (DHF). We report a case of 58-year-old-female admitted with dengue fever who developed spontaneous rectus sheath hematoma complicating DHF. She presented with progressive thrombocytopenia with platelet count reaching 13000/μL at its lowest point. There was evidence of plasma leakage and persistent cough during the course of illness. During the recovery phase, she reported severe abdominal pain and developed hematoma in the right rectus sheath, which was confirmed by abdominal computed-tomography scan and serial magnetic resonance imaging. This complication during convalescent period of DHF needs to be recognized so it can be managed appropriately.

show abstract

“…3 Spontan olarak, egzersiz sonrası ve Dengue ateşi gibi nadir hastalıklarda da görülebilmektedir. [4][5][6][7] Literatürde, laparoskopik hemikolektomi sonrası gelişen rektus kılıf hematomu da mevcuttur. 8 Tanı, klinik şüphe ve muayene bulguları ardından USG ve/veya bilgisayarlı tomografi (BT) ile konulabilir.…”

Section: Discussionunclassified

Enoxaparin Associated Rectus Sheath Hematoma Following Laparotomy: Case Report

Çelik¹,

Kala²,

Korkmaz³

et al. 2016

Turkiye Klinikleri J Gynecol Obst

View full text Add to dashboard Cite

ntikoagülasyon amaçlı kullanılan ajanlar; heparin, düşük molekül ağırlıklı heparinler ve warfarindir. Heparin domuz barsağı ya da sığır akciğerinden elde edilen doğal antikoagülan olup, değişken uzunluktaki lineer polisakkarid zincirlerinden oluşmaktadır ve ortalama moleküler ağırlığı 12.000-15.000 Dalton (Da)'dur.1 Heparin, antitrombin III ile bağlanarak faktör IIa, IXa, Xa, XIa ve XIIa'yı inhibe ederek antikoagülan etki gösterir. Düşük molekül ağırlıklı heparinler ise heparinin enzimatik veya kimyasal depolimerizasyonu ile oluşurlar ve ortalama molekül ağır-lıkları 4.000-5.000 Da'dır. Düşük molekül ağırlıklı heparinler, antitrombin III ile bağlanarak, molekülün konformasyon değişmesine neden olarak sadece faktör Xa inhibisyonu yaparlar. Bu ajanlar, klinikte hiperkoagülabilite olan (kanser, kalıtsal veya edinsel trombofililer) veya olması muhtemel durumlarda (ortopedik cerrahi, majör cerrahi) sıkça kullanılan, hem hastanede yatan hastalarda hem de poliklinik hastalarında sıkça kullanılan ilaçlardır.

show abstract

Dengue fever with rectus sheath hematoma: A case report

Cited by 8 publications

References 5 publications

Bilateral rectus sheath haematoma complicating dengue virus infection in a patient on warfarin for mechanical aortic valve replacement: a case report

Bilateral rectus sheath haematoma complicating dengue virus infection in a patient on warfarin for mechanical aortic valve replacement: a case report

Spontaneous rectus sheath hematomas in dengue hemorrhagic fever: A case report

Enoxaparin Associated Rectus Sheath Hematoma Following Laparotomy: Case Report

Contact Info

Product

Resources

About