Spontaneous arterial hemorrhage as a complication of dengue.
Bleeding complications of dengue hemorrhagic fever such as epistaxis, gum bleeding, gastrointestinal bleeding, hypermenorrhea, hematuria, and thrombocytopenia have been documented. A 49-year-old female presented with complaints of intermittent high-grade fever for the past 4 days, lower abdominal pain and altered sensorium for 1 day. Laboratory investigations revealed severe anemia, mild thrombocytopenia, hypofibrinogenemia, and positive dengue serology. Emergency ultrasound examination of the abdomen revealed a possible rapidly expanding hematoma from the inferior epigastric artery and suggested urgent computed tomography (CT) angiogram for confirmation of the same. CT angiogram was confirmatory, and patient underwent emergency embolization of the right inferior epigastric artery. We report the first case of inferior epigastric hemorrhage and rectus sheath hematoma as a consequence of dengue.
Division of Critical Care, Christian Medical College, Vellore, Tamil Nadu, India.
Shoma Vinay
SV
Rao
Division of Critical Care, Christian Medical College, Vellore, Tamil Nadu, India.
Gijoe George
GG
Jacob
Division of Critical Care, Christian Medical College, Vellore, Tamil Nadu, India.
Nithin Abraham
NA
Raju
Department of Anaesthesiology, Christian Medical College, Vellore, Tamil Nadu, India.
Sneha Ann
SA
Ancheri
Arterial haemorrhage; dengue; recus sheath haematoma