Yonsei Med J.  2023 Jan;64(1):66-70. 10.3349/ymj.2022.0259.

SARS-CoV-2-Infected Pregnant Woman Requiring 38 Days of Extracorporeal Membrane Oxygenation Experiences Rectal Ulcer Bleeding: A Case Report

Affiliations
  • 1Department of Obstetrics and Gynecology, Yonsei University Health System, Seoul, Korea.
  • 2Departments of Internal Medicine, National Health Insurance Service Ilsan Hospital, Goyang, Korea.
  • 3Departments of Obstetrics and Gynecology, National Health Insurance Service Ilsan Hospital, Goyang, Korea.
  • 4Department of Obstetrics and Gynecology, CHA Ilsan Medical Center, CHA University School of Medicine, Goyang, Korea.

Abstract

Pregnancy has been shown to be associated with an adverse clinical course and symptomatic patients with severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) infection. Extracorporeal membrane oxygenation (ECMO) is rarely used in pregnant or postpartum women with severe coronavirus disease 2019 (COVID-19). Here, we report the rare case of a pregnant woman diagnosed with SARS-CoV-2 infection placed on ECMO postpartum who subsequently received treatment for active rectal ulcer bleeding. Despite being placed on ECMO for 38 days and receiving a massive transfusion of 95 packs of red blood cells, she recovered and was discharged on hospital day 112. ECMO can be used in most patients with severe COVID-19, including pregnant patients, although potential coagulopathy complications must be considered.

Keyword

Pregnancy; COVID-19; respiratory distress syndrome; extracorporeal membrane oxygenation
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