Spontaneous Haematoma of the Anterior Rectus Abdominis Muscle

Moreno, Fernando Mendoza; Alonso, Manuel Díez; Plaza, Rafael; Bravo, Ana María Minaya; Ovejero-Merino, Enrique; García, Diego Martín Córdova; Vicent, Javier Granell

doi:10.1016/j.cireng.2016.05.006

Cited by 3 publications

(3 citation statements)

References 25 publications

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“…If type III RSH leads to hemodynamic instability that is uncontrollable with fresh frozen plasma and fluid resuscitation, invasive treatment may be required; there are two options: angiography with embolization of the bleeding vessel; or surgery with hematoma evacuation, ligation of bleeding vessels, and closed‐suction drainage. The success rate of invasive therapy is usually high in such cases 8,27 . Only one out of the five cases reported was successfully managed with conservative approaches.…”

Section: Discussionmentioning

confidence: 99%

Rectus sheath hematoma in patients receiving subcutaneous enoxaparin: A case series of five patients

Mendes

Penedones

Martins

et al. 2020

Clinical Case Reports

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Section: Discussionmentioning

confidence: 99%

Rectus sheath hematoma in patients receiving subcutaneous enoxaparin: A case series of five patients

Mendes

Penedones

Martins

et al. 2020

Clinical Case Reports

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“…The first approach would be a DSA followed by therapeutic angiography with embolization of the bleeding vessel. Emergency laparotomy and ligation of the bleeding vessel will be required in hemodynamically unstable patients with abdominal compartment syndrome [ 10 ]. Invasive modalities have a high success rate, and recurrences have not been reported yet [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…Emergency laparotomy and ligation of the bleeding vessel will be required in hemodynamically unstable patients with abdominal compartment syndrome [ 10 ]. Invasive modalities have a high success rate, and recurrences have not been reported yet [ 10 ]. Our patient underwent successful angioembolization.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Rectus Sheath Hematoma

Das,

Prakash,

Singh

et al. 2023

Cureus

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Rectus sheath hematoma (RSH) is one of the surgical emergencies that mimics peritonitis or other causes of acute abdominal pain. It is usually seen in old age, post-trauma, anticoagulation therapy pregnancy, chronic cough, and liver disease. Nevertheless, RSHs can be spontaneous without any underlying predisposing factors. Here, we present a 51-year-old female with sudden onset abdominal pain, abdominal distention, hypotension, and severe pallor. After initial resuscitation, the patient underwent radiological imaging. This suggested an RSH with active bleeding from the inferior epigastric artery or profunda femoris artery. The patient underwent digital subtraction angiography and angioembolization of the profunda femoris branch. After a few days, the patient continued deteriorating and succumbed to acute respiratory distress syndrome (ARDS).

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Fatal Case of Spontaneous Rectus Sheath Hematoma Caused by Anticoagulant and Steroid Therapy during Hospital Admission

et al. 2018

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Background: Rectus sheath hematoma (RSH) is a rare but potentially dangerous clinical entity that requires medical supervision. Case Report: Here we discuss one such case which describes the fatal course of spontaneous RSH during hospital admission. Conclusion: Usually, RSH presents as a minimal abdominal wall swelling with self-limiting course but in the case of hematoma and size progression, specific conservative or invasive measures are necessary to prevent serious complications including hypovolemic shock and death.

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Spontaneous Haematoma of the Anterior Rectus Abdominis Muscle

Cited by 3 publications

References 25 publications

Rectus sheath hematoma in patients receiving subcutaneous enoxaparin: A case series of five patients

Rectus sheath hematoma in patients receiving subcutaneous enoxaparin: A case series of five patients

Spontaneous Rectus Sheath Hematoma

Fatal Case of Spontaneous Rectus Sheath Hematoma Caused by Anticoagulant and Steroid Therapy during Hospital Admission

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