id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-349565-g1emvmdu	Conti, Clara Benedetta	Bleeding in COVID-19 severe pneumonia: The other side of abnormal coagulation pattern?	2020-05-07		.txt	text/plain	1326	83	49	In the available studies, COVID-19 patients showed alterations of coagulation test, with significant increase of D-Dimer levels associated with severity of illness and adverse outcomes (2). In this scenario, we describe two cases of spontaneous abdominal internal bleeding in hospitalized patients with bilateral interstitial pneumonia and SARS-CoV-2 throat swab positive, supported with C-PAP ventilation, as the invasive ventilation was not recommended for both. Suddenly, after 10 days from the admission, similarly to the first case we described, the patient complained of severe abdominal pain, with clinical signs of hemorrhagic shock. CT scan showed large pelvic blood collection (size:16 x 10 cm) not dissociable from the right ileo-psoas muscle (Fig 1B) , with two late enhanced spots, both of 5 mm, as sign of active bleeding. During the SARS COV-1 epidemic in 2003, spontaneous pneumomediastinum and pneumothorax were reported in patients treated with NIV or C-PAP.	./cache/cord-349565-g1emvmdu.txt	./txt/cord-349565-g1emvmdu.txt