Open AccessHemoperitoneum in dengue fever with normal coagulation profile
Author(s) -
Nagesh Kumar Talakad Chandrashekar,
Rashmi Krishnappa,
Chandra Sekara Reddy,
Arun Narayan
Publication year - 2013
Publication title -
journal of global infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.437
H-Index - 25
eISSN - 0974-8245
pISSN - 0974-777X
DOI - 10.4103/0974-777x.107172
Subject(s) - medicine , dengue fever , ascites , hepatosplenomegaly , hemoperitoneum , abdominal pain , myalgia , pleural effusion , abdomen , abdominal distension , gastroenterology , pathology , surgery , disease
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.