Observational studyAnnals of medicine2021
Spontaneous ilio-psoas haematomas (IPHs): a warning for COVID-19 inpatients.
Observational study in Annals of medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 38 citations in OpenAlex.
- Spontaneous Sublingual Hematoma in a COVID-19 Patient on Heparin Therapy: A Case Report and Review of Management Challenges.Case reports in medicine · 2025Article
- Retroperitoneal and abdominal bleeding in anticoagulated COVID-19 hospitalized patients: Case series and brief literature review.World journal of clinical cases · 2023Article
- Post-COVID-19 non-traumatic iliopsoas hematoma: A case report.Journal of Taibah University Medical Sciences · 2023Article
- Massive iliopsoas haematoma during the course of COVID-19 pneumonia.Respirology case reports · 2023Article
- Neurological Complications Associated With SARS-CoV-2 Infection: A Single-Centre Experience.Cureus · 2022Article
- Bleeding into the Abdominal and Ilio-Lumbar Muscles-A Rare Complication in the Course of COVID-19: Analysis of Four Cases and a Literature Review.Journal of clinical medicine · 2022Article
- Acute retroperitoneal hematoma following severe Covid-19 and the use of anticoagulants.Annals of medicine and surgery (2012) · 2022Article
- Spontaneous ilio-psoas hematoma in severe COVID-19 infection: A rising catastrophic complication.Visual journal of emergency medicine · 2022Article
- A Case of Iliopsoas Hematoma Caused by Prophylactic Anticoagulation against COVID-19.Progress in rehabilitation medicine · 2022Article
- Spontaneous bleeding in COVID-19: A retrospective experience of an Italian COVID-19 hospital.SA journal of radiology · 2022Article
- Spontaneous Muscle Hematoma in Japanese Patients with Severe COVID-19 Treated with Unfractionated Heparin: Two Case Reports.Internal medicine (Tokyo, Japan) · 2021Article
- Management of Spontaneous Bleeding in COVID-19 Inpatients: Is Embolization Always Needed?Journal of clinical medicine · 2021Article
- Rare findings of spontaneous hemothorax and small subpleural lung hematoma in a COVID-19 patient: A case report.Acta radiologica open · 2021Article
- Anticoagulation in COVID-19: not strong for too long?Anaesthesia, critical care & pain medicine · 2021Article
- COVID-19 and the Kidney: A Worrisome Scenario of Acute and Chronic Consequences.Journal of clinical medicine · 2021Review
- Fatal iliopsoas and rectus sheath hemorrhage in a critically ill patient with COVID-19 on therapeutic anticoagulation.International journal of critical illness and injury scienceArticle
- [Extrathoracic manifestations of COVID-19 in adults and presentation of the disease in children].RadiologiaArticle
- Extrathoracic manifestations of COVID-19 in adults and presentation of the disease in children.RadiologiaArticle
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Authors and funding
14 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionCritically ill patients with COVID-19 are at increased risk of developing a hypercoagulable state due to haemostatic changes directly related to the SARS-CoV-2 infection or to the consequence of the cytokine storm. Anticoagulation is now recommended to reduce the thrombotic risk. Ilio-psoas haematoma (IPH) is a potentially lethal condition that can arise during the hospitalization, especially in intensive care units (ICUs) and frequently reported as a complication of anticoagulation treatment. MATERIALS AND
methodsWe report a case series of seven subjects with SARS-CoV-2 pneumonia complicated by Ilio-psoas haematomas (IPHs) at our COVID-Hospital in Rome, Italy.
resultsOver the observation period, 925 subjects with confirmed SARS-CoV-2 infection were admitted to our COVID-hospital. Among them, we found seven spontaneous IPHs with an incidence of 7.6 cases per 1000 hospitalization. All the reported cases had a severe manifestation of COVID-19 pneumonia, with at least one comorbidity and 5/7 were on treatment with low weight molecular heparin for micro or macro pulmonary thrombosis.
conclusionsGiven the indications to prescribe anticoagulant therapy in COVID-19 and the lack of solid evidences on the optimal dose and duration, it is important to be aware of the iliopsoas haematoma as a potentially serious complication in COVID-19 inpatients. KEY MESSAGE Critically ill patients with COVID-19 are at increased risk of hypercoagulability state and anticoagulation therapy is recommended. Ilio-psoas haematoma (IPH) is found to be a complication of anticoagulation regimen especially in severe COVID-19 cases. An incidence of 7.6 cases per 1000 admission of IPHs was reported. Hypoesthesia of the lower limbs, pain triggered by femoral rotation, hypovolaemia and anaemia are the most common symptoms and signs of IPHs that should alert physician.
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