Spontaneous retroperitoneal hematoma in a COVID-19: the first clinical practice

Strizheletsky V.V.; Jadykin A.A.; Ivanov I.G.; Suvorov I.I.; Matveev A.V.; Strebkov V.V.; Vorob’ev A.S.; Bulkin A.N.; Pjagaj V.I.

doi:https://doi.org/10.17116/endoskop20212705142

Strizheletsky V.V.

Center for Surgical Treatment of Obesity and Metabolic Disorders — St. George Hospital;
St. Petersburg State University

ORCID: 0000-0002-1838-9961

Jadykin A.A.

St. Georg the Martyr Municipal Hospital

Ivanov I.G.

St. Georg the Martyr Municipal Hospital

Suvorov I.I.

St. Georg the Martyr Municipal Hospital

Matveev A.V.

National Pharmacovigilance Research Center;
Medical Academy n. a. S.I. Georgievsky of Vernadskjy CFU, Simferopol

Strebkov V.V.

St. Georg the Martyr Municipal Hospital

Vorob’ev A.S.

St. Georg the Martyr Municipal Hospital

Bulkin A.N.

St. Georg the Martyr Municipal Hospital

Pjagaj V.I.

St. Georg the Martyr Municipal Hospital

Spontaneous retroperitoneal hematoma in a COVID-19: the first clinical practice

Authors:

Strizheletsky V.V., Jadykin A.A., Ivanov I.G., Suvorov I.I., Matveev A.V., Strebkov V.V., Vorob’ev A.S., Bulkin A.N., Pjagaj V.I.

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Journal: Endoscopic Surgery. 2021;27(5): 42‑47

DOI: 10.17116/endoskop20212705142

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To cite this article:

Strizheletsky VV, Jadykin AA, Ivanov IG, et al. . Spontaneous retroperitoneal hematoma in a COVID-19: the first clinical practice. Endoscopic Surgery. 2021;27(5):42‑47. (In Russ.)
https://doi.org/10.17116/endoskop20212705142

Подписка 2026 Эндоскопическая хирургия (Endoscopic Surgery)

Использование инфографики авторами научных работ

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JUSTIFICATION

Diagnostics, surgical tactics, postoperative treatment of spontaneous retroperitoneal hematoma (SRH) are still a complex section in medicine. The mortality rate of SRH is high and amounts to about 20%. Scientific interest to the problem of SRH has arisen with the rapid worldwide spread of COVID-19 since the end of 2019. Due to the widespread use of anticoagulants and the development of COVID-19-associated coagulopathy, the incidence of retroperitoneal hematomas in patients with COVID-19 is higher than in the general population.

MATERIALS AND METHODS

Throughout the year more than 16806 COVID-19patients were assisted. Of these, SRH developed in 5 patients.

RESULTS

SRH was found posthumously in 2 patients. Emergency surgery — lumbotomy with revision of the retroperitoneum — was performed in three patients.

CONCLUSIONS

Low molecular weight heparin and other members of the anticoagulant group can cause severe hemorrhagic complications in COVID-19 patients.

Keywords:

spontaneous retroperitoneal hematoma

COVID-19

coagulopathy

anticoagulant therapy

Authors:

Strizheletsky V.V.

Center for Surgical Treatment of Obesity and Metabolic Disorders — St. George Hospital;
St. Petersburg State University

ORCID: 0000-0002-1838-9961

Jadykin A.A.

St. Georg the Martyr Municipal Hospital

Ivanov I.G.

St. Georg the Martyr Municipal Hospital

Suvorov I.I.

St. Georg the Martyr Municipal Hospital

Matveev A.V.

National Pharmacovigilance Research Center;
Medical Academy n. a. S.I. Georgievsky of Vernadskjy CFU, Simferopol

Strebkov V.V.

St. Georg the Martyr Municipal Hospital

Vorob’ev A.S.

St. Georg the Martyr Municipal Hospital

Bulkin A.N.

St. Georg the Martyr Municipal Hospital

Pjagaj V.I.

St. Georg the Martyr Municipal Hospital

Received:

19.07.2021

Accepted:

09.08.2021

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References:

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