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Rectus sheath hematoma combined with COVID-19: A case report
1Department of Obstetrics & Gynecology, Wuhan University of Science and Technology, Wuhan 430070, Hubei Province, China.
World Journal of Clinical Cases
|July 17, 2024
Summary
Rectus sheath hematoma (RSH) is rare and challenging to diagnose. Prompt recognition and careful management of anticoagulation are crucial for effective treatment of RSH.
Area of Science:
- Medicine
- Surgery
- Hematology
Background:
- Rectus sheath hematoma (RSH) is an uncommon condition.
- Limited public awareness often leads to delayed diagnosis and treatment.
- RSH requires timely intervention for optimal patient outcomes.
Observation:
- A case of RSH in a 77-year-old female patient is presented.
- The patient was undergoing treatment for coronavirus disease 2019 and received anticoagulant therapy for thrombosis.
- Abdominal pain led to the discovery of a pelvic mass via ultrasonography, later identified as a large rectus abdominis muscle hematoma.
Findings:
- Diagnosis of RSH was confirmed during emergency laparotomy.
- The patient's condition necessitated cautious use of anticoagulants.
- Management involved addressing the hematoma and carefully considering anticoagulant reintroduction.
Implications:
- Timely diagnosis is essential for effective RSH management.
- Judicious reintroduction of anticoagulants is critical post-hematoma management.
- This case highlights the importance of recognizing RSH symptoms, especially in patients on anticoagulation.
