Skip to main content
SpringerLink
Log in

Rectus Sheath Hematoma Complicated by Deep Vein Thrombosis

  • Surgical
  • Published:
International Journal of Angiology

Abstract

A 63-year-old previously healthy female on no medications was admitted in the emergency department due to pain in the left flank. Initially, she was hemodynamically stable. During the initial examination she became unstable. An ultrasound examination showed a large retroperitoneal hematoma, and a computerized tomography showed a hematoma of the rectus sheath as well. The patient was admitted in the Intensive Care Unit. Due to signs of elevated intra-abdominal pressure and deep vein thrombosis of the left lower extremity, a surgical evacuation of the hematoma was performed the day after. It had to be repeated due to continued bleeding 24 hours later. The management and possible sequelae of rectus sheath hematoma are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Figure 1
Figure 2

Similar content being viewed by others

References

  1. E Cavagna G Carubia F Schiavon (2000) ArticleTitleAnatomo-radiologic correlations in spontaneous hematoma of the rectus abdominis muscles. Radiol Med 99 432–437 Occurrence Handle1:STN:280:DC%2BD3M7mtlCktA%3D%3D

    CAS  Google Scholar 

  2. MM Linhares GJ Lopes Filho PC Bruna AB Ricca NY Sato M Scalabrini (1999) ArticleTitleSpontaneous hematoma of the rectus abdominis sheath: a review of 177 cases with report of 7 personal cases. Int Surg 84 251–257 Occurrence Handle1:STN:280:DC%2BD3c%2FgtFemtg%3D%3D Occurrence Handle10533787

    CAS  PubMed  Google Scholar 

  3. T Miayuchi M Ishikawa H Miki (2001) ArticleTitleRectus sheath hematoma in an elderly woman under anticoagulant therapy. J Med Invest 48 216 Occurrence Handle11694962

    PubMed  Google Scholar 

  4. J Bene D Lassman SA Solomon (1998) ArticleTitleRectus sheath hematoma in elderly patients, a diagnostic challenge. Age and Ageing 2 512–514

    Google Scholar 

  5. O Adeonigbagbe A Khademi M Karowe N Gulatieri J Robilotti (2000) ArticleTitleSpontaneous rectus sheath hematoma and an anterior pelvic hematoma as a complication of anticoagulation. Am J Gastroenterol 1 314–315 Occurrence Handle10.1016/S0002-9270(99)00777-7

    Article  Google Scholar 

  6. C Carmeci N Munkfakh J Brooks (1998) ArticleTitleAbdominal apoplexy. Southern Med J 91 273–274 Occurrence Handle1:STN:280:DyaK1c7otVKltA%3D%3D

    CAS  Google Scholar 

  7. MC Barber (1909) ArticleTitleAbdominal apoplexy. BMJ 2 203

    Google Scholar 

  8. WT Green JH Powers (1931) ArticleTitleIntra-abdominal apoplexy. Ann Surg 93 1070

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Cardiovascular Surgery, University Hospital, Inselspital, Berne, Switzerland

    Hannu Savolainen M.D., Ph.D., F.I.C.A., Pascal Berdat M.D. & Beat Kipfer M.D.

  2. Department of Anaesthesiology, University Hospital, Inselspital, Berne, Switzerland

    Andreas Vogt M.D.

  3. Department of Emergency Medicine, University Hospital, Inselspital, Berne, Switzerland

    Felix Nohl M.D.

  4. Department of Radiology, University Hospital, Inselspital, Berne, Switzerland

    Hans-Peter Dinkel M.D.

Authors
  1. Hannu Savolainen M.D., Ph.D., F.I.C.A.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Andreas Vogt M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Felix Nohl M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Hans-Peter Dinkel M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Pascal Berdat M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Beat Kipfer M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Hannu Savolainen M.D., Ph.D., F.I.C.A..

About this article

Cite this article

Savolainen, H., Vogt, A., Nohl, F. et al. Rectus Sheath Hematoma Complicated by Deep Vein Thrombosis . International Journal of Angiology 12, 129–131 (2003). https://doi.org/10.1007/s00547-003-1003-5

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00547-003-1003-5

Keywords

Search

Navigation