Evidence map›Paper›PMID 33619439›Full record

ArticleRadiology case reports2021

Splenic infarction and spontaneous rectus sheath hematomas in COVID-19 patient.

Jennifer J Dennison, Samuel Carlson, Shannon Faehling, Hannah Phelan, Muhammad Tariq, Ateeq Mubarik

Open access · goldAbstract readCase Reports
In one paragraph

Article in Radiology case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.3field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 22 citations in OpenAlex.

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  5. How has the COVID-19 pandemic changed the diagnosis of rectus sheath hematoma and its follow-up?Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2022
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  8. Does COVID-19 increase the incidence of spontaneous rectus sheath hematoma?Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Jennifer J DennisonMedical College of Wisconsin, 1900 Westwood Center Blvd, Unit 3100, Wausau, WI, 54401 USA.
Samuel CarlsonMedical College of Wisconsin, 1900 Westwood Center Blvd, Unit 3100, Wausau, WI, 54401 USA.
Shannon FaehlingMedical College of Wisconsin, 1900 Westwood Center Blvd, Unit 3100, Wausau, WI, 54401 USA.
Hannah PhelanMedical College of Wisconsin, 1900 Westwood Center Blvd, Unit 3100, Wausau, WI, 54401 USA.
Muhammad TariqAscension Saint Michael's Hospital, Stevens Point, WI.
Ateeq MubarikAscension Saint Michael's Hospital, Stevens Point, WI.
Medical College of Wisconsin · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multiple studies and reports have suggested that coronavirus disease-19 (COVID-19) promotes arterial and venous thrombotic events in multiple organ systems, although the mechanism leading to a hypercoagulable state is still unknown. Few cases of splenic infarction associated with COVID-19 have been reported, of which half were found incidentally upon autopsy. This may be due to a clinically silent presentation or the symptoms being wrongfully attributed to pain caused by the effects of COVID-19. Due to the rarity of the condition and its lack of consistent symptomatology, splenic thromboembolism can be difficult to diagnose. Awareness of the condition and high clinical suspicion will help the clinician identify and manage the problem. Hemorrhage in patients with COVID-19 is uncommon in the hypercoagulable state that threatens thrombus formation in patients with COVID-19 infection. Despite prophylactic treatment with anticoagulation therapies, patients are more prone to developing clots. It is also well-known that therapeutic anticoagulation can place patients at a higher risk of bleeding. Thus, this unique population is at risk of developing both thrombotic and hemorrhagic events. We report a rare case of splenic infarction in a patient with confirmed COVID-19 infection despite prophylactic treatment with low-molecular-weight heparin which was found incidentally during workup for 2 other rare conditions: spontaneous rectus sheath hematoma and microhemorrhage or thrombus of the mesenteric vessels.

Indexed as

CoronavirusCOVID-19Rectus sheath hematomaSars-Cov-2Splenic infarction

Identifiers

PMID33619439
PMCPMC7881734
OpenAlexW3130038421

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.