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Updated: Jun 12, 2026

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
Published on: October 15, 2021
Giant rectus sheath hematoma after therapeutic paracentesis resulting in hemodynamic instability in the intensive
Sang-Bae Ko1, H Alex Choi, Rishi Malhotra
1Department of Neurology, Columbia University College of Physicians and Surgeons, New York, NY 10032, USA.
Abstract:
Rectus sheath hematoma (RSH) is a rare but potentially serious complication that can occur after abdominal paracentesis. Although RSH is often self-limited, it can lead to life-threatening conditions when diagnosis and/or treatment are delayed. In the neuro-intensive care unit, the diagnosis is often difficult to make or delayed because most patients have poor mental status and are unable to communicate their RSH-related symptoms. We report a case of a giant RSH detected by abnormal hemodynamic conditions on intensive care unit monitoring after abdominal paracentesis.
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