Intraoperative coagulopathy during cesarean section as an unsuspected initial presentation of COVID-19: a case report.
BMC Pregnancy Childbirth
; 20(1): 481, 2020 Aug 24.
Article
en En
| MEDLINE
| ID: mdl-32838744
ABSTRACT
BACKGROUND:
The world's understanding of COVID-19 continues to evolve as the scientific community discovers unique presentations of this disease. This case report depicts an unexpected intraoperative coagulopathy during a cesarean section in an otherwise asymptomatic patient who was later found to have COVID-19. This case suggests that there may be a higher risk for intrapartum bleeding in the pregnant, largely asymptomatic COVID-positive patient with more abnormal COVID laboratory values. CASE The case patient displayed D-Dimer elevations beyond what is typically observed among this hospital's COVID-positive peripartum population and displayed significantly more oozing than expected intraoperatively, despite normal prothrombin time, international normalized ratio, fibrinogen, and platelets.CONCLUSION:
There is little published evidence on the association between D-Dimer and coagulopathy among the pregnant population infected with SARS-CoV-2. This case report contributes to the growing body of evidence on the effects of COVID-19 in pregnancy. A clinical picture concerning for intraoperative coagulopathy may be associated with SARS-CoV-2 infection during cesarean sections, and abnormal COVID laboratory tests, particularly D-Dimer, may help identify the patients in which this presentation occurs.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Neumonía Viral
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Complicaciones Hematológicas del Embarazo
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Complicaciones Infecciosas del Embarazo
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Trastornos de la Coagulación Sanguínea
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Presentación de Nalgas
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Cesárea
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Pérdida de Sangre Quirúrgica
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Infecciones por Coronavirus
Tipo de estudio:
Diagnostic_studies
/
Prognostic_studies
Idioma:
En
Año:
2020
Tipo del documento:
Article