{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T20:26:35Z","timestamp":1792095995059,"version":"4.4.0"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2023,8,8]],"date-time":"2023-08-08T00:00:00Z","timestamp":1691452800000},"content-version":"vor","delay-in-days":7,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,8,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Acute mesenteric haematoma (AMH) is a rare condition and established causes include blunt trauma, aneurysmal rupture, acute pancreatitis and anticoagulant use. A male patient in his 50s presented with abdominal pain and loss of consciousness that was immediately preceded by a prolonged coughing episode. A computed tomography (CT) abdomen-pelvis revealed two acute mesenteric haematomas and haematoperitoneum and admission swabs diagnosed coronavirus disease 2019 (COVID-19). The patient had no other acute clinical issues and was not taking anticoagulants. The haematomas were managed conservatively and a follow up computed tomography (CT) 4 weeks post-discharge revealed significant improvement. No clear vessel was identified as the source of the bleed in any of the investigations. This case represents a rare instance of AMH and haematoperitoneum with no established cause. We theorize that the combination of the patient\u2019s systemic response to COVID-19 and raised intra-abdominal pressure caused by coughing contributed to the bleeding.<\/jats:p>","DOI":"10.1093\/jscr\/rjad450","type":"journal-article","created":{"date-parts":[[2023,8,8]],"date-time":"2023-08-08T23:25:48Z","timestamp":1691537148000},"source":"Crossref","is-referenced-by-count":3,"title":["Acute mesenteric haematoma and hematoperitoneum following a coughing episode induced by COVID-19"],"prefix":"10.1093","volume":"2023","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6121-7399","authenticated-orcid":false,"given":"Charles","family":"Carey","sequence":"first","affiliation":[{"name":"The General Surgery Department , Wythenshawe Hospital, , Manchester M13 9PL , UK"},{"name":"Manchester University NHS Foundation Trust Cobbett House Manchester Royal Infirmary , Wythenshawe Hospital, , Manchester M13 9PL , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryam","family":"Khatoon","sequence":"additional","affiliation":[{"name":"The General Surgery Department , Wythenshawe Hospital, , Manchester M13 9PL , UK"},{"name":"Manchester University NHS Foundation Trust Cobbett House Manchester Royal Infirmary , Wythenshawe Hospital, , Manchester M13 9PL , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dare","family":"Seriki","sequence":"additional","affiliation":[{"name":"The General Surgery Department , Wythenshawe Hospital, , Manchester M13 9PL , UK"},{"name":"Manchester University NHS Foundation Trust Cobbett House Manchester Royal Infirmary , Wythenshawe Hospital, , Manchester M13 9PL , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anselm","family":"Agwunobi","sequence":"additional","affiliation":[{"name":"The General Surgery Department , Wythenshawe Hospital, , Manchester M13 9PL , UK"},{"name":"Manchester University NHS Foundation Trust Cobbett House Manchester Royal Infirmary , Wythenshawe Hospital, , Manchester M13 9PL , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,8,8]]},"reference":[{"key":"2023080823253594100_ref1","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1016\/j.ijscr.2016.05.034","article-title":"Report of a case with a spontaneous mesenteric hematoma that ruptured into the small intestine","volume":"24","author":"Shikata","year":"2016","journal-title":"Int J Surg Case Rep"},{"key":"2023080823253594100_ref2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1308\/147870806X95230","article-title":"Spontaneous mesenteric haematoma: a diagnostic challenge","volume":"88","author":"Gomez","year":"2006","journal-title":"Ann R Coll Surg Engl"},{"key":"2023080823253594100_ref3","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1186\/1471-2482-14-35","article-title":"Spontaneous mesenteric hematoma 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