Rare cases of abdominal wall hematomas successfully diagnosed and treated at SGRH

New Delhi, November 15, 2021:

According to Dr Atul Gogia, Senior Consultant, Department of Internal Medicine, Sir Ganga Ram Hospital,” We have had three such patients recently having abdominal wall and retro peritoneal haematomas. Ranging from 30 to 60 year age group presenting with confirmed dengue with pain abdomen and low Haemoglobin which in detailed evaluation were found to have bleeding in the abdominal wall and Psoas muscle. Timely diagnosis and Appropriate timely supportive treatment helped us get all of them out of the crisis situation and recover well.” (Presentation attached)

Dr Gogia further added , ” It is very rare to have muscle hematomas in Dengue. First case reported for muscle hematoma in dengue patient was published in 2001 and after that there have been sporadic reports on this problem.

Among the mosquito-borne viral diseases, dengue is one of the most rapidly spreading infections of global concern.
“Among bleeding complications in Dengue, muscle hematomas are rare and common sites of intramuscular hematomas are rectus sheath , posas and iliacus sheath. Hematomas are mostly unilateral and rarely bilateral” as added by Dr Atul Kakar, Vice Chairman,Department of Medicine,Sir Ganga Ram Hospital

Ultrasound imaging and contrast enhanced CT Scan are the diagnostic tools for muscle hematomas. Most of the patients were managed with adequate fluid resuscitation, Platelet transfusion, analgesics and resolution occurs with time.
Our patients were managed accordingly and successfully treated.

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