scholarly journals Rupture of the left rectus abdominis muscle due to COVID-19 related cough

2021 ◽  
pp. 126-130
Keyword(s):  
Valve Replacement ◽  
Acute Abdominal Pain ◽  
Pathological Condition ◽  
Oral Anticoagulants ◽  
Rectus Sheath ◽  
Mechanical Valve ◽  
Rectus Abdominis Muscle ◽  
Pain Syndromes ◽  
Clinical Scenarios ◽  
Rectus Sheath Hematoma

Throughout the coronavirus disease 2019 pandemic, patients using oral anticoagulants for mechanical valve replacement and/or another clinical-pathological condition might have faced various clinical scenarios. Rectus sheath hematoma is one of the acute abdominal pain syndromes. This study presented a patient with developed anticoagulation-induced rectus sheath hematoma after mitral valve replacement.

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.

Rectus Sheath Hematoma Presenting with Acute Abdominal Pain after a Severe Cough Episode

2018 ◽  
pp. 36-38
Author(s):  
Mehmet Tolga Kafadar ◽  
◽  
Ibrahim Teker ◽  
Ismail Cetinkaya ◽  
Esat Taylan Ugurlu ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Rectus Sheath ◽  
Rectus Sheath Hematoma

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 Post-caesarean Rectus Sheath Haematoma

2016 ◽  
Vol 10 (2) ◽  
pp. 60-63
Author(s):  
I Upadhyaya ◽  
NR Joshi
Keyword(s):  
Acute Abdominal Pain ◽  
Wide Spectrum ◽  
Rectus Sheath ◽  
Rectus Abdominis Muscle ◽  
Peripheral Vascular ◽  
Specific Nature ◽  
Common Features ◽  
Radiologic Imaging ◽  
Local Trauma ◽  
Low Incidence

Rectus sheath haematoma of the abdomen is the accumulation of blood in the sheath of the rectus abdominis muscle as a result of disruption of the epigastric vessels or from a direct tear of the muscle itself. The aberrant course of vessels or injudicious dissection may contribute to this catastrophe. It encompasses a wide spectrum of severity - some self-limiting and others fatal depending on its size, etiology and the development of complications. Its common features include acute abdominal pain, fever, nausea and vomiting. The non-specific nature of these symptoms combined with the low incidence of the disorder lead to difficulty in diagnosis. Local trauma, coagulopathies, coughing, hypertension, and peripheral vascular disease could cause them. The haematoma usually occurs in the lower quadrants of the abdominal wall, is difficult to diagnose clinically and often radiologic imaging is required for its definitive pre-operative diagnosis. Our patients presented with rectus sheath haematoma, following caesarean section. Clinical suspicion and ultrasonography were used to confirm the diagnosis and patients were managed with exploration and haematoma drainage. 

scholarly journals An Uncommon Presentation of Spontaneous Rectus Sheath Hematoma with Acute Kidney Injury due to Obstructive Uropathy and Prerenal Azotemia

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Eleni Paschou ◽  
Eleni Gavriilaki ◽  
Asterios Kalaitzoglou ◽  
Maria Mourounoglou ◽  
Nikolaos Sabanis
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Obstructive Uropathy ◽  
Abdominal Mass ◽  
Rectus Sheath ◽  
Kidney Injury ◽  
Antiplatelet Agents ◽  
Fresh Frozen Plasma ◽  
Uncommon Presentation ◽  
Rectus Sheath Hematoma

Rectus Sheath Hematoma (RSH) represents an unusual entity which is characterized by acute abdominal pain and tender palpable abdominal mass usually, among elderly patients receiving anticoagulant therapy. We report the case of an 81-year-old woman admitted to our department due to acute abdominal pain and oligoanuria. The patient had recently been hospitalized due to acute myocardial infarction (AMI) and atrial fibrillation (AF) and received both anticoagulant and antiplatelet therapies. The radiological assessments revealed an extended Rectus Sheath Hematoma and bilateral hydronephrosis. Treatment of the hematoma required cessation of anticoagulants and antiplatelet agents, immobilization, blood and fresh frozen plasma transfusion, and administration of vasopressors. The patient recovered gradually and was discharged home fifteen (15) days later.

scholarly journals Rectus sheath hematoma: a potentially life threatening complication following caesarean delivery

2018 ◽  
Vol 7 (10) ◽  
pp. 4289
Author(s):  
Sonal Dube ◽  
Meenakshi Dube ◽  
Saumitra Dube
Keyword(s):  
Abdominal Pain ◽  
Caesarean Section ◽  
Caesarean Delivery ◽  
Acute Abdominal Pain ◽  
Rectus Sheath ◽  
Present Patient ◽  
Acute Presentation ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Rectus Sheath Hematoma

Rectus sheath hematoma (RSH) is a rare but potentially life threatening complication of caesarean delivery. The nonspecific nature of entity, lower incidence of disorder and acute presentation may posses’ difficulty in timely recognizing this. Present patient presented as acute abdominal pain 38 hours post caesarean section. This is an attempt to increase the awareness of this rare but potentially grave condition, as timely diagnosis and fast intervention saved present patient.

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