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Related Experiment Video

Updated: Jun 28, 2026

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury

Published on: June 8, 2013

Rectus sheath hematoma.

Olusegun Osinbowale¹, John R Bartholomew

¹Section of Vascular Medicine, Department of Cardiology Ochsner Clinic Foundation, New Orleans, LA 70121, USA. oosinbowale@ochsner.org

Vascular Medicine (London, England)

|October 23, 2008

Summary

This summary is machine-generated.

Rectus sheath hematoma (RSH) is a complication of anticoagulation. Early diagnosis and management are key to preventing serious issues, and anticoagulation can be safely resumed later.

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Area of Science:

Internal Medicine
Gastroenterology
Radiology

Background:

Rectus sheath hematoma (RSH) is a recognized complication associated with anticoagulation therapy.
RSH can lead to significant morbidity and mortality if not promptly diagnosed and managed.

Observation:

Clinical diagnosis of RSH is possible, with computed tomography (CT) of the abdomen serving as a confirmatory imaging modality.
Conservative management is often effective for RSH.
Temporary suspension of anticoagulation is frequently required during the acute phase of RSH.

Findings:

Prompt diagnosis and treatment of RSH are crucial for preventing complications such as hemodynamic instability, abdominal compartment syndrome, and multiorgan dysfunction.
Most cases of RSH can be managed conservatively.

Implications:

Rectus sheath hematoma does not represent a contraindication for resuming anticoagulation therapy.
Anticoagulation can be safely restarted once the hematoma is adequately managed and the patient achieves clinical stability.