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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
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Related Experiment Video

Updated: Aug 26, 2025

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Hernia Following Rectus Sheath Hematoma.

Adam Dulberger1, Mitchell Streiff2, Scott D Myers1

  • 1Department of Diagnostic Radiology, David Grant Medical Center, Fairfield, USA.

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|October 13, 2022
PubMed
Summary
This summary is machine-generated.

Rectus sheath hematomas (RSH) are increasingly diagnosed, often due to anticoagulation use. This case report details a rare complication: bowel herniation into a rectus sheath hematoma space.

Keywords:
abdominal wall herniaposterior rectus sheath hematomarectus hematomarectus sheath hematomarectus sheath hernia

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Area of Science:

  • Abdominal imaging and diagnostics
  • Surgical complications
  • Gastrointestinal pathology

Background:

  • Rectus sheath hematomas (RSH) are increasingly prevalent, linked to anticoagulation therapy and an aging demographic.
  • Risk factors include comorbidities like blood dyscrasias, atherosclerosis, and hypertension.
  • Iatrogenic RSH, resulting from abdominal interventions, is also common.

Observation:

  • RSH diagnosis can be challenging due to non-specific clinical presentations.
  • Abdominal computed tomography (CT) is the preferred imaging modality for RSH identification and characterization.
  • CT aids in management planning by assessing hematoma size and location.

Findings:

  • Traditional RSH complications include recurrent bleeding, shock, compartment syndrome, myonecrosis, and infection.
  • This report describes a previously undocumented complication: bowel herniation.
  • The herniation occurred into a potential space created by a treated RSH.

Implications:

  • Highlights the need for vigilance regarding less common RSH complications.
  • Suggests potential for new diagnostic and management strategies for RSH.
  • Emphasizes the importance of comprehensive imaging in RSH patient care.