Bilateral rectal sheath hematomas after low-molecular weight heparin treatment in uremia

Abstract

Rectus sheath hematomas (RSHs) are uncommon. They are usually unilateral and rarely bilateral. In this paper, we report the first case of spontaneous bilateral RSHs in a uremic patient after the administration of the first dose of low-molecular weight heparin during hemodialysis. The most interesting aspect of this case is that the main symptom of RSH in our patient was urinary bladder irritation. We highlight the importance of the prompt diagnosis and management of this medical emergency.

Non-traumatic bilateral rectus sheath hematoma during septic disseminated intravascular coagulation

“…Only 10 reports of bilateral RSH, including the present one, are available (Supplementary Table S1). The cause of non-traumatic RSH was antiplatelet/coagulation therapy in 5 cases [5] , [6] , [7] , [8] . In most cases, conservative treatment was performed [6] , [7] , [8] , [9] , [10] , [11] .…”

“…The cause of non-traumatic RSH was antiplatelet/coagulation therapy in 5 cases [5] , [6] , [7] , [8] . In most cases, conservative treatment was performed [6] , [7] , [8] , [9] , [10] , [11] . In our case, the right RSH developed first; thereafter, the left RSH developed after angiography that was performed to identify bleeding from the right lower abdominal wall and embolization of the same.…”