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CASE REPORT
Year : 2013  |  Volume : 5  |  Issue : 1  |  Page : 29-30

Hemoperitoneum in dengue fever with normal coagulation profile


1 Department of Internal Medicine, MS Ramaiah Medical College and Teaching Hospital, Bengaluru, Karnataka, India
2 Department of Pathology, MS Ramaiah Medical College and Teaching Hospital, Bengaluru, Karnataka, India

Correspondence Address:
Nagesh Kumar Talakad Chandrashekar
Department of Internal Medicine, MS Ramaiah Medical College and Teaching Hospital, Bengaluru, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-777X.107172

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A 43-year-old male living in Bengaluru sought emergency services due to high-grade fever, headache, myalgia, abdominal pain and distension. Platelet count (except the first-96,000/mm 3 ) and coagulation profile was in normal limits. The dengue serology was positive for IgM and Ig G (immunoglobulin M and G) antibodies. Ultrasound abdomen showed gross ascites, mild bilateral pleural effusion and hepatosplenomegaly. The patient continued to have abdominal pain and progressive distention Ascitic tap was hemorrhagic. Later laparoscopy showed 1.5 liters peritoneal fluid with blood clots and mild diffuse congestion of the peritoneum. Liver, spleen and blood vessels were normal. Then what would be the possible mechanism to explain hemoperitoneum, is it the increased vascular permeability caused by the virus? India being endemic for dengue illness, it is an interesting and rare case presentation.


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2008 Journal of Global Infectious Diseases | Published by Wolters Kluwer - Medknow
Online since 10th December, 2008