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Rectus sheath haematoma: an anticoagulation dilemma
Giovanni Losco1, Samba Siva Reddy Pulusu, Murray Pfeifer
1Department of Surgery, Christchurch Hospital, PO Box 4345, Christchurch, New Zealand. giovanni.losco@cdhb.govt.nz
The New Zealand Medical Journal
|February 12, 2010
Summary
Rectus sheath hematoma (RSH) is a rare condition often misdiagnosed. This case highlights challenges in managing RSH, particularly when patients require anticoagulation therapy.
Area of Science:
- Abdominal imaging
- Surgical case reports
- Hematology
Background:
- Rectus sheath hematoma (RSH) is an uncommon abdominal wall injury.
- RSH diagnosis can be challenging due to non-specific symptoms.
- Anticoagulation therapy complicates the management of RSH.
Observation:
- A case of rectus sheath hematoma is presented.
- The patient was on anticoagulation, complicating management.
- Diagnostic difficulties were encountered.
Findings:
- RSH requires careful diagnostic consideration.
- Anticoagulation poses significant management challenges in RSH cases.
- Timely diagnosis and appropriate management are crucial.
Implications:
- This case underscores the importance of considering RSH in patients with abdominal pain, especially those on anticoagulation.
- Improved diagnostic strategies for RSH are needed.
- Management protocols for RSH in anticoagulated patients require further refinement.
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