Disseminated Intravascular Coagulation as the First Manifestation of Coronavirus Disease: Report of a Survived Deadly Case


Blood Coagulation Disorders
Disseminated Intravascular Coagulation

How to Cite

Esmailzadeh, A. ., Chaichian, shahla, Mehdizadehkashi, A. ., Tahermanesh, K. ., Rokhgireh, S., Khodakarim, N. ., Ghafourian, S., Moslemi, S. ., & Akhlaghdoust, M. . (2020). Disseminated Intravascular Coagulation as the First Manifestation of Coronavirus Disease: Report of a Survived Deadly Case. Iranian Red Crescent Medical Journal, 22(8). https://doi.org/10.32592/ircmj.2020.22.8.142


Introduction: Coronavirus disease 2019 (COVID-19), newly emerging in the world as a pandemic disease, can have rare extrapulmonary manifestations. Few studies have reported coagulation disorders, induced by coronavirus; however, hemorrhage is an extremely rare and life-threatening phenomenon in COVID-19.

Case presentation: Herein, we present a 31-year-old woman referring with vaginal bleeding, melena, skin ecchymosis, mucosal bleeding, melena, hematuria, and hypovolemic shock. At our center, she was diagnosed as a case of severe internal hemorrhage due to ovulation site hemorrhage and underwent emergency surgery, complicated by prolonged international normalized ratio, which could be due to the presence of COVID-19 in the patient, detected by spiral computed tomography.

Conclusions: This case showed the importance of examining COVID-19 in any patients referring to the hospital during the pandemic as well as paying greater attention to the effect of COVID-19 on coagulation disorders in these patients.



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