Department of Emergency Medicine, Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA 92134, United States.
Department of Emergency Medicine, Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA 92134, United States.
Am J Emerg Med. 2021 Sep;47:316.e1-316.e3. doi: 10.1016/j.ajem.2021.02.012. Epub 2021 Feb 12.
While primarily a respiratory illness, infection with the novel coronavirus (COVID-19) is associated with pathologic changes in coagulation, characterized by both thromboembolic and bleeding events. We present the case of a 22-year-old female diagnosed with renal angiomyolipoma (AML) rupture 2 weeks after COVID-19 infection, ultimately requiring admission for hemorrhage control via endovascular embolization. Emergency medicine physicians should maintain a high index of suspicion for renal AML rupture and other spontaneous bleeding events in patients with recent COVID-19 infection due to a possible correlation between the two.
虽然新型冠状病毒(COVID-19)主要是一种呼吸道疾病,但它与凝血功能的病理变化有关,其特征是既有血栓栓塞事件,也有出血事件。我们报告了一例 22 岁女性的病例,该患者在 COVID-19 感染后 2 周被诊断为肾血管平滑肌脂肪瘤(AML)破裂,最终需要通过血管内栓塞进行出血控制。由于 COVID-19 感染与两种情况之间可能存在相关性,因此急诊医生对于近期 COVID-19 感染患者的肾 AML 破裂和其他自发性出血事件应保持高度怀疑。