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Portable Percussive Massage Device-Related Rectus Sheath Hematoma and Obstructive Uropathy: A Case Report
1Nephrology, Westchester Medical Center, Poughkeepsie, NY, USA.
Biomedicine Hub
|July 17, 2024
Summary
Rectus sheath hematomas, a rare complication of anticoagulation and massage device use, can cause acute ureteral obstruction. This case highlights the need to consider unusual causes of obstructive uropathy in patients with abdominal pain.
Area of Science:
- Urology
- Nephrology
- Radiology
Background:
- Rectus sheath hematomas (RSHs) typically result from epigastric artery rupture.
- Obstructive uropathy can lead to acute kidney injury (AKI).
Observation:
- A patient on anticoagulation developed a large RSH after using a percussive massage device for abdominal pain.
- The RSH caused extrinsic compression of the ureters and bladder, leading to bilateral hydroureteronephrosis.
Findings:
- The hematoma extended into the retroperitoneum, causing significant urinary tract obstruction.
- This represents a unique presentation of obstructive uropathy linked to massage device use.
Implications:
- Clinicians should consider RSHs as a cause of obstructive uropathy, especially in anticoagulated patients.
- The use of percussive massage devices on the abdominal wall in patients on anticoagulation warrants caution.
