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VOLUME 20 , ISSUE 5 ( 2016 ) > List of Articles

CASE REPORT

Spontaneous arterial hemorrhage as a complication of dengue

Shoma Vinay Rao, Gijoe George Jacob, Nithin Abraham Raju, Sneha Ann Ancheri

Keywords : Arterial haemorrhage, dengue, recus sheath haematoma

Citation Information : Rao SV, Jacob GG, Raju NA, Ancheri SA. Spontaneous arterial hemorrhage as a complication of dengue. Indian J Crit Care Med 2016; 20 (5):302-304.

DOI: 10.4103/0972-5229.182201

License: CC BY-ND 3.0

Published Online: 00-05-2016

Copyright Statement:  Copyright © 2016; Jaypee Brothers Medical Publishers (P) Ltd.


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.


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