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Picture quiz (answer).

U Nandy1, G I Varughese, N Iqbal

  • 1Department of Medicine, Manor Hospital, Walsall, WS2 9PS, West Midlands, UK.

Acute Medicine
|June 10, 2011
PubMed
Summary
This summary is machine-generated.

Low molecular weight heparins are common treatments for blood clots and heart conditions. A rare complication is rectus sheath hematoma, which can be overlooked during anticoagulant therapy.

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Area of Science:

  • Pharmacology
  • Vascular Medicine
  • Internal Medicine

Background:

  • Subcutaneous low molecular weight heparins (LMWH) are frequently prescribed for hospitalized patients.
  • Indications include deep vein thrombosis (DVT), pulmonary embolism (PE), acute coronary syndromes (ACS), and thromboprophylaxis.
  • Rectus sheath hematoma (RSH) is a known complication of anticoagulant therapy.

Purpose of the Study:

  • To highlight rectus sheath hematoma as a potential complication of low molecular weight heparin therapy.
  • To emphasize the importance of recognizing and diagnosing rectus sheath hematoma in patients receiving LMWH.

Main Methods:

  • Review of literature and clinical case reports concerning rectus sheath hematoma.
  • Analysis of diagnostic challenges and management strategies for RSH in the context of LMWH use.

Main Results:

  • Rectus sheath hematoma can occur with both therapeutic and prophylactic doses of LMWH.
  • RSH may be misdiagnosed, potentially delaying appropriate treatment.
  • Early recognition and diagnosis are crucial for effective management.

Conclusions:

  • Rectus sheath hematoma is an under-recognized complication of low molecular weight heparin treatment.
  • Clinicians should maintain a high index of suspicion for RSH in patients on LMWH presenting with abdominal pain.
  • Prompt diagnosis and management can prevent serious sequelae.