Rectus Sheath Hemorrhage Due To Oral Antıcoagulant Therapy

Year 2009, Volume: 26 Issue: 3, 128 - 130, 30.12.2010

Ahmet Baydın , Mehmet Ekiz Türker Yardan Latif Duran Canan Doğruel Çiğdem Ekşi Ali Kemal Erenler

Abstract

Rectus sheath hemorrhage (RSH) is an uncommon condition characterized by abdominal pain. It is an accumulation of blood in the sheath of the rectus abdominis, secondary to rupture of an epigastric vessel or muscle tear. It is usually located infraumblically and often misdiagnosed as acute abdomen. This case report describes a patient with RSH and retroperitoneal hemorrhage secondary to anticoagulant therapy, who was admitted to our Emergency Department with complaints of abdominal pain, emesis, nausea, and abdominal wall ecchymosis. Computerizd tomography must be chosen for diagnosis. Main therapy is conservative management.

Keywords

Abdominal Pain, Rectus Sheath Hematoma, Ultrasonography, Anticoagulant Therapy, Computed Tomography, Emergency Department

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