Hematoma of the Rectus Abdominis Muscle: A Complication of Subcutaneous Heparin Therapy

Kb, Webb; Hadzima, S. K.

doi:10.1097/00007611-198707000-00026

Cited by 16 publications

(6 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It has been reported that intramuscular injection causes hematoma in the development of LMWH-associated RIMH, but that it is not sufficient to develop hematoma alone. It has also been reported that the rupture of inferior epigastric artery due to strain of the rectus abdominis muscle in case of cough that increases intra-abdominal pressure or local anticoagulant effect causes extensive hematoma (1,12). In our case, the presence of frequent cough episodes due to pneumonia may have facilitated the development of RIMH.…”

Section: Discussionsupporting

confidence: 54%

Spontaneous Intramuscular Hematoma due to Subcutaneous Enoxaparın

Gürdal¹,

Yeniay²,

Çetin³

et al. 2019

Istanbul Med J

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 54%

Spontaneous Intramuscular Hematoma due to Subcutaneous Enoxaparın

Gürdal¹,

Yeniay²,

Çetin³

et al. 2019

Istanbul Med J

View full text Add to dashboard Cite

“…Predisposing factors are arteriosclerosis of blood vessels, old age and use of anticoagulants 9 , 13 , 15. Abdominal wall haematomas are well known consequences of anticoagulant therapy with heparin, warfarin sodium and antiplatelet drugs 8 , 19 – 21. RSH is reported in many cases under anticoagulant therapy in angina or myocardial infarction, cardiac valve replacement, atrial fibrillation, deep vein thrombosis, pulmonary embolism and platelet disorders 6 , 8 , 14 , 16 , 19 , 20 , 22.…”

Section: Discussionmentioning

confidence: 99%

Abdominal wall haematoma in cardioembolic stroke due to enoxaparine therapy: a report of two cases

Türkoğlu

Güven²,

Gürer³

et al. 2009

Case Reports

View full text Add to dashboard Cite

Abdominal wall haematomas are uncommon and often misdiagnosed entities. Most of the time the haematoma is produced by rupture of the epigastric vessels, deep circumflex iliac artery or tear in the rectus or lateral oblique muscle. Predisposing factors such as arteriosclerosis of vessels, old age, straining while urinating and coughing and use of anticoagulant agents make bleeding more likely. Here, two uncommon cases who experienced cardioembolic stroke are described. The patients were given enoxaparin sodium urgently, administered to the stomach area subcutaneously. They presented with abdominal masses, periumbilical and inguinal ecchymosis. Their haemoglobin levels dropped. Abdominal CT scan and ultrasonography revealed rectus sheath and internal abdominal oblique muscle haematomas. The patients were treated conservatively. This report concerns this rare condition, often misdiagnosed in unconscious patients, that has not been reported as being due to cardiogenic brain embolism in the literature to date.

show abstract

“… 10 – 13 Tearing of these vessels or rupture of the rectus abdominis muscle causes rectus sheath hematoma. 13 In the literature, risk factors for sheath hematoma include spontaneous or simple trauma, fast and immediate position changes, use of anticoagulant therapy, 13 , 15 recent surgery, asthma exacerbation 16 or coughing paroxysm, 14 injections 17 and pregnancy. 13 Older patients may have more than one risk factor.…”

Section: Discussionmentioning

confidence: 99%