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All Journal Syntax Literate: Jurnal Ilmiah Indonesia Indonesian Journal of Cardiology Jurnal Ilmu Kedokteran dan Kesehatan JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Jurnal Sehat Indonesia (JUSINDO) Tarumanagara Medical Journal Jurnal Riset Rumpun Ilmu Kesehatan (JURRIKES) Jurnal Keperawatan Bunda Delima Jurnal Pengabdian West Science Ebers Papyrus Jurnal Muara Medika dan Psikologi Klinis Jurnal Pengabdian Sosial Science and Technology: Jurnal Pengabdian Masyarakat Prosiding Seminar Nasional COSMIC Kedokteran
Andria Priyana
Faculty of Medicine, University of Indonesia/ Harapan Kita National Cardiovascular Center
Religion Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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Journal : Ebers Papyrus

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PERDARAHAN ILIOPSOAS PADA PASIEN COVID-19 DALAM TERAPI ANTIKOAGULAN Priyana, Andria
Ebers Papyrus Vol. 27 No. 1 (2021): EBERS PAPYRUS
Publisher : Fakultas Kedokteran Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24912/ep.v27i1.12161

Abstract

Background: Giving anticoagulants to Covid-19 patients is included in one of the standard protocols for Covid-19 therapy. The focus on anticoagulation to prevent thrombotic events often creates a “double-edged sword” with the risk of bleeding, which is also potentially fatal. We present a rare but fatal case of iliopsoas hemorrhage.Case: A Covid-19 patient, 70 years old male, received anticoagulant therapy with unfractionated heparin instead of enoxaparine (LMWH) due to high D-dimer. As the D-dimer value improves, massive and continuous left iliopsoas hemorrhage appears which causes hemodynamic disturbances. Fluid resuscitation, vasopressors, and transfusions were administered following a CT scan of the abdomen. Follow-up CT angiography could not locate the source of the bleeding. Surgery or percutaneous intervention cannot be performed. The patient eventually died.Conclusion: The incidence of bleeding on anticoagulant therapy is low, especially iliopsoas bleeding. Given the massive anticoagulant therapy in almost all Covid-19 patients, as well as the pathogenesis of Covid-19 that interferes with vascular conditions and the coagulation system, the incidence of bleeding risk may increase. This needs to be a concern and anticipation of comprehensive management.
Co-Authors Adnyana, Made Adhyatma Kuwerabrata Alifia, Khalisya Andersan, Jonathan Anjarwani, Setyasih Astiawati, Tri Bambang Widyantoro Destra, Edwin Endang, Jusup Evelyn Fitriyani, Iis Rani Goh, Daniel Gracienne Gracienne, Gracienne Gunaidi, Farell Christian Hakim, Afdhalun Harsono, Axsel Hutapea, Amanda Putri Berlian Ilhami, Yose Ramda Jap, Ayleen Nathalie Juzar, Dafsah Arifa Kartika, Ronald Lucius, Steven Hizkia Meganindita, Frisca Muzakkir, Akhtar Fajar Nahar Taufiq, Nahar Pramudyo, Miftah R A, I Made Junior Santoso, Alexander Santoso, Alexander Halim Suros, Angel Sharon Sutantyo, Princyelova Estevan Teguh, Stanislas Warsito, Jonathan Hadi Yohanes Firmansyah