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

Taguchi, Kana; Kamei, Yasuhiro; Kusakabe, Erina; Yamashita, Michiko; Noda, Haruna; Aoki, Reina; Nishiyama, Kanako; Murakami, Akari; Tanaka, Hiroaki; Matsuda, Megumi; Kido, Teruhiko; Sato, Norio; Takada, Yasutsugu

doi:10.1016/j.radcr.2022.02.074

Cited by 3 publications

(2 citation statements)

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“…RSH is an infrequent cause of acute abdominal pain (<2%) 4. Bilateral RSH is even rarer, with only 12 documented cases in the literature since 1981 5–7. The author presents a case of a bilateral RSH in an elderly trauma patient.…”

Section: Introductionmentioning

confidence: 97%

Trauma in the elderly: a bilateral rectus sheath haematoma

McArdle

2023

BMJ Case Rep

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Life expectancy has more than doubled in the last century, and a new cohort of elderly and increasingly frail patients is presenting to emergency departments with new clinical challenges. When this patient cohort presents after injury, all aspects of clinical practice have to be recalibrated to provide safe and appropriate care. The prevalence of chronic disease, levels of organ failure, multiple comorbidities, greater use of anticoagulation and incidence of recurrent low- and high-impact trauma may delay and obscure diagnosis and, ultimately, increase mortality.Older age is a risk factor for rectus sheath haematoma (RSH), which is haemorrhage into the potential space surrounding the rectus abdominis muscle/s. It is a rare presentation following trauma but can provide diagnostic challenges and be fatal. Even more rare is bilateral RSH with only 12 reported in the literature since 1981.This case report describes bilateral RSH presenting in an elderly woman following a fall and the consequences of seemingly minor trauma in the elderly.

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