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Case Reports
. 2016 May;20(5):302-4.
doi: 10.4103/0972-5229.182201.

Spontaneous arterial hemorrhage as a complication of dengue

Shoma Vinay Rao  1 , Gijoe George Jacob  1 , Nithin Abraham Raju  1 , Sneha Ann Ancheri  2
Affiliations
Case Reports

Spontaneous arterial hemorrhage as a complication of dengue

Shoma Vinay Rao et al. Indian J Crit Care Med. 2016 May.

Abstract

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.

Keywords: Arterial haemorrhage; dengue; recus sheath haematoma.

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Figures

Figure 1
Figure 1
Ultrasound abdomen shows hematoma (10.7 cm × 5.9 cm) in the intra-muscular plane on the right lower abdomen
Figure 2
Figure 2
Computed tomography angiogram showing a large rectus abdominus hematoma and active contrast extravasation within the hematoma
See this image and copyright information in PMC

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