Wunderlich syndrome, an unexpected urological complication in a patient with coronavirus disease 2019 (COVID-19): A case report
| Autor: | Fabrizio Presicce, Marco Martini, Francesco Minisola, Cristina Falavolti, Alessio Filianoti |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Current Urology, Vol 16, Iss 2, Pp 74-76 (2022) |
| Druh dokumentu: | article |
| ISSN: | 1661-7649 1661-7657 00000000 |
| DOI: | 10.1097/CU9.0000000000000100 |
| Popis: | Abstract. We describe the first case of Wunderlich syndrome as a hemorrhagic complication in a patient with severe acute respiratory syndrome coronavirus 2 infection and acute respiratory distress syndrome. The possible underlying pathophysiological mechanisms have been extensively discussed. Emergency management included selective angioembolization of the upper polar arterial branches of the left kidney and discontinuation of thromboprophylaxis. The patient was discharged after 18 days. No other localizations or local recurrence of bleeding occurred during the hospitalization. Our report suggests a broad spectrum of clinical manifestations in patients with coronavirus disease 2019. As observed in our clinical case, in addition to thrombotic complications, bleeding is a significant cause of morbidity in coronavirus disease 2019 patients. Further studies should determine whether these urological bleeding sequelae are a direct manifestation of the infection or an indirect effect of thromboprophylaxis. |
| Databáze: | Directory of Open Access Journals |
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