scholarly journals Surgical Management of Massive Rectus Sheath Haematoma due to Inferior Epigastric Artery Rupture

2005 ◽  
Vol 30 (1) ◽  
pp. 110
Author(s):  
S.M. Higgs ◽  
F.C.T. Smith
Keyword(s):  
Surgical Management ◽  
Rectus Sheath ◽  
Inferior Epigastric Artery ◽  
Epigastric Artery

scholarly journals Surgical Management of Left Upper Quadrant Sided Rectus Sheath Hematoma Occurred by Coughing in a Hemodialysis Patient

2015 ◽  
Vol 100 (1) ◽  
pp. 190-192 ◽  
Author(s):  
Sangchul Yun ◽  
Sungwoo Cho ◽  
Zisun Kim ◽  
Han Ul Chong ◽  
Jae Joon Kim
Keyword(s):  
Surgical Management ◽  
Surgical Approach ◽  
Conservative Management ◽  
Hemodialysis Patient ◽  
Rectus Sheath ◽  
Rectus Abdominis Muscle ◽  
Inferior Epigastric Artery ◽  
Epigastric Artery ◽  
Field Of Vision ◽  
Rectus Sheath Hematoma

Abstract Rectus sheath hematoma (RSH) is a rarely-occurring disease that is usually associated with anticoagulation, trauma, or spontaneous events. Most spontaneous rectus sheath hematomas may be relieved with conservative management. However, some extreme situations need surgical approach. Respecting the fact that the inferior epigastric artery mainly supplies the rectus abdominis muscle, interrupting its proximal side would cease the bleeding. We present a stepped procedure of ligation of the inferior epigastric artery and evacuation of hematoma with good field of vision in case of rectus sheath hematoma in hemodialysis patient.

scholarly journals Picture Quiz (Answer)

2005 ◽  
Vol 4 (2) ◽  
pp. 75-75
Author(s):  
U Nandy ◽  
◽  
GI Varughese ◽  
N Iqbal ◽  
TJ Constable ◽  
...  
Keyword(s):  
Molecular Weight ◽  
Rectus Sheath ◽  
Low Molecular Weight ◽  
Rectus Abdominis Muscle ◽  
Inferior Epigastric Artery ◽  
Low Molecular Weight Heparins ◽  
Epigastric Artery ◽  
Hospitalised Patients ◽  
Coronary Syndromes ◽  
Rectus Sheath Hematoma

Subcutaneous low molecular weight heparins are widely used in hospitalised patients for the treatment of DVT, pulmonary embolism and acute coronary syndromes, as well as for thromboprophylaxis. Rectus sheath hematoma is a recognised, but sometimes misdiagnosed, complication of treatment with anticoagulant therapy,1 including full and prophylactic doses of low molecular weight heparin.2 Studies have shown that the most frequent location of a haematoma is in the lower part of the abdomen. The explanation for this lies in the anatomy of the abdominal wall.3 The rectus abdominis muscle lies between the aponeuroses of the transverse and oblique muscles, which form the so-called rectus sheath. In this lower aspect of the muscle the perforating branches of the inferior epigastric artery running in the preperitoneal fat may rupture causing a large haematoma widely spreading in this loose space. Care should be taken to avoid this area for injection of heparin, particularly in thin patients where inadvertent intramuscular.

Intraoperative Observation during Total Extraperitoneal Repair (TEP)

2020 ◽  
Vol 86 (2) ◽  
pp. 146-151
Author(s):  
Lisheng Wu ◽  
Junsheng Li ◽  
Ran Miao
Keyword(s):  
Umbilical Artery ◽  
Vas Deferens ◽  
Rectus Sheath ◽  
Anatomical Variations ◽  
Preperitoneal Space ◽  
Anatomical Landmarks ◽  
Inferior Epigastric Artery ◽  
Epigastric Artery ◽  
Posterior Rectus Sheath ◽  
Total Extraperitoneal

We aim to observe and dissect the essential anatomical landmarks in totally extraperitoneal (TEP) procedures. Forty-six TEP procedures in 30 patients were prospectively performed in our department. During the dissection of the preperitoneal space, the following distances between landmarks were measured. D1: the distance from pubic symphysis to the arcuate line in the midline; D2: the distance from the inferior epigastric artery to the lateral border of the arcuate line (before sharp incision was performed); D3: as in D2 (but after sharp incision was performed); D4: the distance from the inferior epigastric artery to the crossing site of vas deferens and obliterated umbilical artery. Furthermore, the morphology of the posterior rectus sheath was documented. The corresponding distance between the anatomical landmarks varied greatly in each individual. D1: 8 ± 1.6 cm (range 4–10 cm). D2: 4.9 ± 0.8 cm (3.5–7 cm). D3: 6.8 ± 0.9 cm (5–9 cm). D4: 6.1 ± 1 cm (4.8–8.5 cm). Complete rectus sheath was found in 30.4 per cent (14/46) of the hernias. Anatomical variations were common in preperitoneal space. The crossing site of vas deferens and obliterated umbilical artery can serve as a landmark for dissection. Complete rectus was present in one-third of hernias, which necessitates a sharp incision for entering the correct lateral preperitoneal space.

scholarly journals Spontaneous rectus sheath hematoma diagnosed by point-of-care ultrasonography

CJEM ◽  
2013 ◽  
Vol 15 (02) ◽  
pp. 120-123 ◽  
Author(s):  
Hamid Shokoohi ◽  
Keith Boniface ◽  
M. Reza Taheri ◽  
Ali Pourmand
Keyword(s):  
Emergency Department ◽  
Acute Abdomen ◽  
Point Of Care ◽  
Rectus Sheath ◽  
Inferior Epigastric Artery ◽  
Artery Pseudoaneurysm ◽  
Epigastric Artery ◽  
Emergency Department Patients ◽  
Point Of Care Ultrasonography ◽  
Rectus Sheath Hematoma

ABSTRACTSpontaneous rectus sheath hematoma is an uncommon condition that can mimic other conditions associated with an acute abdomen. We report the case of a patient with a spontaneous rectus sheath hematoma due to a ruptured inferior epigastric artery pseudoaneurysm who presented with hypotension and severe abdominal pain and was diagnosed using emergency department point-of-care ultrasonography. Point-of-care ultrasonography has been increasingly used in the evaluation of emergency department patients with acute abdomen and hypotension to expedite the diagnosis and management of aortic aneurysm and intraperitoneal bleeding. Resuscitation and urgent surgical and interventional radiology consultations resulted in the successful embolization of a branch of the inferior epigastric artery and a good outcome.

scholarly journals Wandering Fibroid: An Unusual Complication Arising from an Unusual Location

2018 ◽  
Vol 01 (01) ◽  
pp. 065-068
Author(s):  
Nilu Malpani Dhoot ◽  
Gobindo Pramanick ◽  
Manash Saha ◽  
J Kishor Gupta ◽  
Milan Chetry ◽  
...  
Keyword(s):  
Anterior Abdominal Wall ◽  
Uterine Fibroids ◽  
Rectus Sheath ◽  
Unusual Complication ◽  
Solid Mass ◽  
Inferior Epigastric Artery ◽  
Epigastric Artery ◽  
Life Threatening ◽  
Rectus Sheath Hematoma ◽  
Artery Branch

AbstractWandering fibroids are exceedingly uncommon extrauterine neoplasms. They occur in unusual locations that can confound imaging and diagnosis. We present a case of a woman, with a lump in the abdomen, whose imaging revealed uterine fibroids and an apparently unrelated solid mass adherent to the anterior abdominal wall. Guided biopsy resulted in the unusual complication of an inferior epigastric artery branch injury for which embolization was done. Post embolization, the size of the mass reduced. Iatrogenic inferior epigastric artery injury is rare and can result in a large rectus sheath hematoma. Active bleeding is life threatening and warrants immediate intervention.

Sign in / Sign up

Export Citation Format

Share Document