What is it about?

We report four cases of spontaneous psoas haematomas among 548 patients hospitalized for SARS-CoV-2 pneumonia (incidence of 7.3 cases per 1000 patients). All patients received anticoagulant therapy with low weight molecular heparin (100 U.I. anti-Xa/kg 2 times/d) from admission. In all cases, signs of anaemia were detected and patients experienced low back or abdominal pain. The diagnosis of spontaneous psoas haematoma was made by computed tomography after a median of 12.5 d from admission and 19.5 d from COVID-19 symptoms. Half of these patients died from haemorrhagic shock

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Why is it important?

Anemia + low back pain in COVID-19 patients should prompt diagnostic investigations

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This page is a summary of: Spontaneous psoas haematoma: a life-threatening complication of anticoagulation in COVID-19. A case series of four episodes, Infectious Diseases, May 2021, Taylor & Francis,
DOI: 10.1080/23744235.2021.1918347.
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