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The COVID-19 pandemic has caused over 1.75 million deaths in the world to date. Although the leading cause of mortality is respiratory disorders and thromboembolic pathologies, other rare pathologies may also increase mortality and morbidity. In our study, we aimed to examine life-threatening hematomas, risk factors, and management during COVID-19.Institutional center (a third level pandemic center) database was searched for patients hospitalized for COVID-19 during 10 months period between March 11, 2020, and December 17, 2020, retrospectively. Patients with bleeding symptoms/signs were de-tected. Patients with gastrointestinal system bleeding were excluded from the study. Patients with hematomas were included in the study.Eleven of a total 5484 patients had hematomas (0.2%). Median age was 76 (min-max: 56-90). Seven (63.6%) patients were male and 4 (36.4%) were female. All patients had at least one comorbidities, been under treatment dose of low-molecular-weight hep-arin (LMWH) and severe or critical COVID-19 disease. Seven retroperitoneal hematomas, two rectus sheath hematomas, one breast hematoma, and in one patient both retroperitoneal and breast hematomas were diagnosed. Angiographic arterial embolization was applied to 5 (45.5%) patients. Overall mortality rate in patients with bleeding complications was 54.5% (n=6), and the male-to-female ratio was 66.7% (n=4) versus 33.3% (n=2).Hematomas are rare, but mortality increasing phenomena in COVID-19 patients. Age, male gender, severe or critical COVID-19 disease, comorbidities, and treatment dose of LMWH may be risk factors. New onset of abdominal/back pain and ecchymotic skin lesions may be signs of bleeding in this patient group. Mortality can be reduced by early diagnosis of hematoma and interventional methods.

Isolated cecal necrosis is a rare condition that causes ischemic colitis. Ischemic colitis is evaluated in two groups as occlusive mesenteric ischemia and non-occlusive mesenteric ischemia. Non-occlusive acute colonic ischemia is mostly observed in elderly patients due to low blood flow. Isolated cecal necrosis; chronic kidney failure, chronic heart diseases, systemic infections and diabetes mellitus are more common in the population with systemic disease. In the treatment of isolated cecal necrosis, right hemicolectomy and ileotransverostomy are generally preferred surgical techniques, as well as different treatment modalities. In this case, a 54-year-old female patient with chronic renal failure, operated for acute abdomen, and diagnosed as isolated cecal necrosis is presented and literature information is presented., İzole çekal nekroz, iskemik kolite neden olan nadir bir durumdur. İskemik kolit ise oklüzifmezenterikiskemi ve oklüzif olmayan mezenterikiskemi olarak iki grupta değerlendirilir. Oklüzif olmayan akut kolonikiskemi düşük kan akımı nedeniyle çoğunlukla ileri yaş hastalarda gözlenmektedir. İzole çekal nekroz; kronik böbrek yetmezliği, kronik kalp hastalıkları, sistemik enfeksiyonlar ve diyabetesmellitus gibi sistemik hastalığı olan popülasyonda daha sık görülmektedir. İzole çekal nekroz tedavisinde sağ hemikolektomi ve ileotransverostomi genel olarak tercih edilen cerrahi teknik olmasının yanında farklı tedavi modaliteleri de mevcuttur. Bu olguda kronik böbrek yetmezliği olan, akut batın nedeniyle ameliyat edilen ve intraoperatif olarak izole çekal nekroz tanısı konulan 54 yaşında kadın hasta ve literatür bilgileri sunulmaktadır.