Conservative Treatment of Spontaneous Intraperitoneal Hemorrhage in Severe Dengue: A Case Report and Review
Issued Date
2025-12-01
Resource Type
ISSN
00029637
eISSN
14761645
Scopus ID
2-s2.0-105025526802
Pubmed ID
41056926
Journal Title
American Journal of Tropical Medicine and Hygiene
Volume
113
Issue
6
Start Page
1355
End Page
1362
Rights Holder(s)
SCOPUS
Bibliographic Citation
American Journal of Tropical Medicine and Hygiene Vol.113 No.6 (2025) , 1355-1362
Suggested Citation
Looareesuwan P., Sivakorn C., Luvira V. Conservative Treatment of Spontaneous Intraperitoneal Hemorrhage in Severe Dengue: A Case Report and Review. American Journal of Tropical Medicine and Hygiene Vol.113 No.6 (2025) , 1355-1362. 1362. doi:10.4269/ajtmh.25-0296 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/113752
Title
Conservative Treatment of Spontaneous Intraperitoneal Hemorrhage in Severe Dengue: A Case Report and Review
Author(s)
Author's Affiliation
Corresponding Author(s)
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Abstract
Dengue fever is a common arboviral illness that can result in severe hemorrhagic complications, although spontaneous intraperitoneal bleeding remains rare. We report the case of a 26-year-old previously healthy female who presented with a 4-day history of high-grade fever and myalgia that was later diagnosed as dengue fever. During hospitalization, she developed vaginal bleeding followed by generalized abdominal pain and shock. Contrast-enhanced computed tomography revealed significant hemoperitoneum, despite a normal coagulation profile and no identifiable bleeding source. She was managed conservatively with supportive care and made a full recovery. A 1-year follow-up was unremarkable. This case underscores the importance of early recognition, prompt imaging, and consideration of differential diagnoses. In the absence of established guidelines for managing spontaneous intraperitoneal hemorrhage in dengue, individualized conservative treatment may be effective. Clinicians should remain vigilant for atypical presentations to ensure timely diagnosis and appropriate management.