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Related Concept Videos

Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

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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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Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

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Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
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Assessment of the Rectum and Anus01:25

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
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Related Experiment Video

Updated: Sep 15, 2025

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
04:33

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Published on: November 8, 2024

469

Rectus sheath hematoma causing cecal perforation: a case report.

Abanoub Awad1, Mitchell Meagher1, Isaac Theerman1

  • 1Department of Surgery, Mayo Clinic Health System, 1400 Bellinger St. Eau Claire, WI 54703, United States.

Journal of Surgical Case Reports
|July 18, 2025
PubMed
Summary
This summary is machine-generated.

A rare rectus sheath hematoma, potentially linked to COVID-19, caused cecal perforation in a patient. Prompt diagnosis and intervention, including surgery, were crucial for survival.

Keywords:
abdominal painanticoagulationcase reportcecal perforationrectus sheath hematoma

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Area of Science:

  • Gastroenterology
  • Vascular Surgery
  • Infectious Disease

Background:

  • Rectus sheath hematoma (RSH) is a rare condition, often linked to trauma or anticoagulation.
  • The incidence of RSH is estimated at 1.2-1.5 cases per year.
  • COVID-19 infection has been associated with various thrombotic and inflammatory complications.

Observation:

  • A 49-year-old male with a history of smoking and recent COVID-19 presented with respiratory symptoms and suspected venous thromboembolism.
  • Imaging revealed bilateral pulmonary emboli and a left rectus sheath hematoma.
  • The patient developed worsening anemia, encephalopathy, and abdominal pain, indicating complications.

Findings:

  • The rectus sheath hematoma enlarged, necessitating transfusion and selective embolization.
  • Hollow viscus perforation was confirmed, specifically a cecal perforation.
  • The perforation was attributed to the mass effect of the expanding hematoma.

Implications:

  • This case highlights a rare but severe complication of rectus sheath hematoma, including hollow viscus perforation.
  • It underscores the importance of considering abdominal complications in patients with risk factors and recent infections.
  • Management may require a multidisciplinary approach involving interventional radiology and surgery.