Coronavirus disease 2019 (COVID-19) is caused by
severe acute respiratory syndrome which was declared a global pandemic in 2019 causing significant morbidities and mortalities.
COVID-19 is a multi-systemic disease and is not primarily limited to the respiratory system.
Thrombus formation is one of its distinct features. However, renal complications associated with
COVID-19 are rarely reported in the literature due to limited occurrence and research. We report a rare case of right retroperitoneal
hematoma in a
COVID-19 patient. We report a 51-year-old male patient who was received at the emergency department (ED). The patient was positive for
COVID-19 and had a Glasgow coma scale of 12/15. The patient was initially managed on IV anticoagulation due to
cavernous sinus thrombosis and was placed on
mechanical ventilation which helped him to improve. After two weeks, a sudden drop in
hemoglobin was observed. CT scan of abdomen and pelvis showed the presence of a right retroperitoneal
hematoma, and right renal artery non-occlusive filling defect. The patient was successfully managed with
conservative treatment. Retroperitoneal
hematoma although a rare occurrence in
COVID-19 patient should be observed and monitored closely in case of
bleeding or
anemia, as early management and intervention is beneficial.