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Dengue Fever with rectus sheath hematoma: a case report
Anurag Sharma1, Sonia Bhatia2, Rajendra Pratap Singh3
1Department of Internal Medicine, Medanta-The Medicity Hospital, Gurgaon, Haryana, India.
Journal of Family Medicine and Primary Care
|August 28, 2014
Summary
Dengue fever, a tropical viral illness, can rarely cause rectus sheath hematoma (RSH). This case report details a patient with Dengue fever and RSH successfully treated conservatively.
Area of Science:
- Infectious Diseases
- Tropical Medicine
- Gastroenterology
Background:
- Dengue fever is a significant global health concern, endemic in tropical regions.
- Rectus sheath hematoma (RSH) is an uncommon cause of acute abdominal pain, characterized by blood accumulation within the rectus abdominis muscle sheath.
- While Dengue fever has numerous documented complications, its association with RSH is exceptionally rare.
Observation:
- This report details a case of Dengue fever presenting with rectus sheath hematoma (RSH).
- The patient experienced acute abdominal pain attributed to RSH secondary to Dengue virus infection.
- The diagnosis was confirmed, and the condition was managed without surgical intervention.
Findings:
- The study highlights a rare instance of Dengue fever complicated by rectus sheath hematoma (RSH).
- Conservative management of RSH in the context of Dengue fever proved successful.
- This case adds to the limited published evidence linking Dengue virus infection with RSH.
Implications:
- Clinicians should consider RSH as a rare differential diagnosis in patients with Dengue fever presenting with acute abdominal pain.
- Conservative treatment approaches may be effective for Dengue-associated RSH.
- Further research is warranted to understand the pathophysiology and incidence of RSH as a Dengue complication.

