Rectus sheath haematoma causing ureteric obstruction

Venetia Hoe1, Ned Kinnear1,2, Daniel Christidis1

  • 1Dept of Urology, Footscray Hospital, Footscray, Victoria, Australia.

BMJ Case Reports
|July 12, 2018
PubMed

Rectus sheath haematoma is an uncommon condition. However, its incidence is increasing, attributed to greater use of anticoagulant therapy. We present the case of an 83-year-old woman on therapeutic enoxaparin for a prior pulmonary embolus who underwent elective right hemicolectomy and developed a rectus sheath haematoma 13 days postoperatively. Her extensive haematoma compressed retroperitoneal structures including the right ureter. She was successfully managed conservatively.

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