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Rectus Sheath Hemorrhage Due To Oral Antıcoagulant Therapy

Year 2009, Volume: 26 Issue: 3, 128 - 130, 30.12.2010

Ahmet Baydın Mehmet Ekiz Türker Yardan Latif Duran Canan Doğruel Çiğdem Ekşi Ali Kemal Erenler

Abstract

Rectus sheath hemorrhage (RSH) is an uncommon condition characterized by abdominal pain. It is an accumulation of blood in the sheath of the rectus abdominis, secondary to rupture of an epigastric vessel or muscle tear. It is usually located infraumblically and often misdiagnosed as acute abdomen. This case report describes a patient with RSH and retroperitoneal hemorrhage secondary to anticoagulant therapy, who was admitted to our Emergency Department with complaints of abdominal pain, emesis, nausea, and abdominal wall ecchymosis. Computerizd tomography must be chosen for diagnosis. Main therapy is conservative management.

Keywords

Abdominal Pain Rectus Sheath Hematoma Ultrasonography Anticoagulant Therapy Computed Tomography Emergency Department

References

  • Balci, N. C., Sirvanci, M., Tufek, I., Onat, L., Duran, C., 2001. Spontaneous retroperitoneal hemorrhage seconday to subcapsular renal hematoma: MRI Findings. MR Imag. 19, 1145-1148.
  • Berna, J. D., Zuazu, I., Madrigal, M., Garcia-Medina, V., Fernandez, C., Guirado, F., 2000. Conservative treatment of large rectus sheath hematoma in patients undergoing anticoagulant therapy. Abdom. Imaging. 25, 230-234.
  • Casey, R. G., Mahmoud, M., Carroll, K., 2000. Rectus Sheath Haematoma: An Unusual Diagnosis. Ir. Med. Jnl. 93, 90–92.
  • Cherry, W. B., Mueller, P. S. 2006. Rectus sheath hematoma. Review of 126 cases at a single institution. Medicine. 85, 105-110.
  • Choudari, C. P., Rajgopal, C., Palmer, K. R., 1994. Acute gastrointestinal haemorrhage in anticoagulated patients: diagnoses and response to endoscopic treatment. Gut. 35, 464-466.
  • Daves, R. S., Goh, G. J., Curtis, J. M., Lewis-Jones, H. G., 1996. Abdominal wall haematoma in anti-coagulated patients: the role of imaging in diagnosis. Australas. Radiol. 40, 109-112.
  • Denizbas, A., Unluer, E., Guneysel, O., Eroglu, S., Kosargelir, M., 2006. Complications of warfarin therapy and the correlation of the outcomes with international normalized ratio levels. Eur. J. Emerg. Med. 13, 47–48.
  • Dolin, E. K., Baker, D. L., Buck, S. C., 2006. A 44-Year-Old Woman With Hematemesis and Cutaneous Hemorrhages as a Result of Superwarfarin Poisoning. JAOA. 106, 280-284.
  • Henzel, J. H., Pories, W. J., Smith, J. L., Burget, D. E., Plecha, F. R., 1966. Pathogenesis and management of abdominal wall haematomas. Arch. Surg. 93, 929-935.
  • Karabulut, Z., Abci, I., Lakadamyali, H., Gebedek, O., 2006. A case of rectus sheath hematoma. Ulus Tr. Acil Cer. Derg. 12, 76–78.
  • Kirazli, Y., Akkoc, Y., Kanyilmaz, S., 2004. Spinal epidural hematoma associated with oral anticoagulation therapy. Am. J. Phys. Med. Rehabil. 83, 220–223.
  • Landefeld, S., Beyth, R., 1993. Anticoagulant-related bleeding: Clinical epidemiology, prediction, and prevention. Am. J. Med. 95, 315–328.
  • Lewin, J. R., Patterson, E.A., 1980. CT recognition of spontaneous intraperitoneal hemorrhage complicating anticoagulant therapy. AJR. 134, 1271-1272.
  • Linhares, M. M., Lopes Filho, G.J., Bruna, P. C., Rica, A. B., 1999. Sato NY, Sacalabrini M. Spontaneous hematoma of the rectus abdominis sheath: a review of 177 cases with report of 7 personal cases. Int. Surg. 84, 251–257.
  • Maharaj, D., Ramdass, M., Teelucksingh, S., Perry, A., Naraynsingh, V., 2002. Rectus sheath haematoma: a new set of diagnostic features. Postgrad. Med. J. 78, 755–756.
  • Mrug, M., Mishra, P.V., Lusane, H.C., Cunningham, J.M., Alpert, M.A., 2002. Hemothorax and Retroperitoneal Hematoma After Anticoagulation With Enoxaparin. Southern Med. J. 95, 936–938.
  • Osinbowale, O., Bartholomew, J.R., 2008. Rectus sheath hematoma. Vascular medicine. 13, 275–279.
  • Ozpolat, B., Yilmaz, M.A., Yucel, E., 2007. Lingual hematoma threatening airway obstruction in a patient on oral anticoagulation with warfarin. Blood Coagul. Fibrinolysis. 18, 575–576.
  • Polat, C., Dervisoglu, A., Guven, H., Kaya, E., Malazgirt, Z., Danaci, M., Ozkan, K., 2003. Anticoagulant-Induced Intramural Intestinal Hematoma. Am. J. Emerg. Med. 21, 208–211.
  • Siu, W.T., Yau, K.K., Cheung, H. Y., Law, B.K., Tang, C. N., Yang, G. P., Li, M. K., 2003. Spontaneous rectus sheath hematoma. Can. J. Surg. 46, 390.
  • Unverir, P., Dag, T., Peynirci, H., 2006. An analysis of bleeding complications related to warfarin in emergency department: Turkish J. Emerg. Med. 6,117–121.

Year 2009, Volume: 26 Issue: 3, 128 - 130, 30.12.2010

Ahmet Baydın Mehmet Ekiz Türker Yardan Latif Duran Canan Doğruel Çiğdem Ekşi Ali Kemal Erenler

Abstract

References

  • Balci, N. C., Sirvanci, M., Tufek, I., Onat, L., Duran, C., 2001. Spontaneous retroperitoneal hemorrhage seconday to subcapsular renal hematoma: MRI Findings. MR Imag. 19, 1145-1148.
  • Berna, J. D., Zuazu, I., Madrigal, M., Garcia-Medina, V., Fernandez, C., Guirado, F., 2000. Conservative treatment of large rectus sheath hematoma in patients undergoing anticoagulant therapy. Abdom. Imaging. 25, 230-234.
  • Casey, R. G., Mahmoud, M., Carroll, K., 2000. Rectus Sheath Haematoma: An Unusual Diagnosis. Ir. Med. Jnl. 93, 90–92.
  • Cherry, W. B., Mueller, P. S. 2006. Rectus sheath hematoma. Review of 126 cases at a single institution. Medicine. 85, 105-110.
  • Choudari, C. P., Rajgopal, C., Palmer, K. R., 1994. Acute gastrointestinal haemorrhage in anticoagulated patients: diagnoses and response to endoscopic treatment. Gut. 35, 464-466.
  • Daves, R. S., Goh, G. J., Curtis, J. M., Lewis-Jones, H. G., 1996. Abdominal wall haematoma in anti-coagulated patients: the role of imaging in diagnosis. Australas. Radiol. 40, 109-112.
  • Denizbas, A., Unluer, E., Guneysel, O., Eroglu, S., Kosargelir, M., 2006. Complications of warfarin therapy and the correlation of the outcomes with international normalized ratio levels. Eur. J. Emerg. Med. 13, 47–48.
  • Dolin, E. K., Baker, D. L., Buck, S. C., 2006. A 44-Year-Old Woman With Hematemesis and Cutaneous Hemorrhages as a Result of Superwarfarin Poisoning. JAOA. 106, 280-284.
  • Henzel, J. H., Pories, W. J., Smith, J. L., Burget, D. E., Plecha, F. R., 1966. Pathogenesis and management of abdominal wall haematomas. Arch. Surg. 93, 929-935.
  • Karabulut, Z., Abci, I., Lakadamyali, H., Gebedek, O., 2006. A case of rectus sheath hematoma. Ulus Tr. Acil Cer. Derg. 12, 76–78.
  • Kirazli, Y., Akkoc, Y., Kanyilmaz, S., 2004. Spinal epidural hematoma associated with oral anticoagulation therapy. Am. J. Phys. Med. Rehabil. 83, 220–223.
  • Landefeld, S., Beyth, R., 1993. Anticoagulant-related bleeding: Clinical epidemiology, prediction, and prevention. Am. J. Med. 95, 315–328.
  • Lewin, J. R., Patterson, E.A., 1980. CT recognition of spontaneous intraperitoneal hemorrhage complicating anticoagulant therapy. AJR. 134, 1271-1272.
  • Linhares, M. M., Lopes Filho, G.J., Bruna, P. C., Rica, A. B., 1999. Sato NY, Sacalabrini M. Spontaneous hematoma of the rectus abdominis sheath: a review of 177 cases with report of 7 personal cases. Int. Surg. 84, 251–257.
  • Maharaj, D., Ramdass, M., Teelucksingh, S., Perry, A., Naraynsingh, V., 2002. Rectus sheath haematoma: a new set of diagnostic features. Postgrad. Med. J. 78, 755–756.
  • Mrug, M., Mishra, P.V., Lusane, H.C., Cunningham, J.M., Alpert, M.A., 2002. Hemothorax and Retroperitoneal Hematoma After Anticoagulation With Enoxaparin. Southern Med. J. 95, 936–938.
  • Osinbowale, O., Bartholomew, J.R., 2008. Rectus sheath hematoma. Vascular medicine. 13, 275–279.
  • Ozpolat, B., Yilmaz, M.A., Yucel, E., 2007. Lingual hematoma threatening airway obstruction in a patient on oral anticoagulation with warfarin. Blood Coagul. Fibrinolysis. 18, 575–576.
  • Polat, C., Dervisoglu, A., Guven, H., Kaya, E., Malazgirt, Z., Danaci, M., Ozkan, K., 2003. Anticoagulant-Induced Intramural Intestinal Hematoma. Am. J. Emerg. Med. 21, 208–211.
  • Siu, W.T., Yau, K.K., Cheung, H. Y., Law, B.K., Tang, C. N., Yang, G. P., Li, M. K., 2003. Spontaneous rectus sheath hematoma. Can. J. Surg. 46, 390.
  • Unverir, P., Dag, T., Peynirci, H., 2006. An analysis of bleeding complications related to warfarin in emergency department: Turkish J. Emerg. Med. 6,117–121.
There are 21 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Surgery Medical Sciences
Authors

Ahmet Baydın

Mehmet Ekiz This is me

Türker Yardan This is me

Latif Duran This is me

Canan Doğruel This is me

Çiğdem Ekşi This is me

Ali Kemal Erenler This is me

Publication Date December 30, 2010
Submission Date April 27, 2010
Published in Issue Year 2009 Volume: 26 Issue: 3

Cite

APA Baydın, A., Ekiz, M., Yardan, T., Duran, L., et al. (2010). Rectus Sheath Hemorrhage Due To Oral Antıcoagulant Therapy. Journal of Experimental and Clinical Medicine, 26(3), 128-130.
AMA Baydın A, Ekiz M, Yardan T, Duran L, Doğruel C, Ekşi Ç, Erenler AK. Rectus Sheath Hemorrhage Due To Oral Antıcoagulant Therapy. J. Exp. Clin. Med. December 2010;26(3):128-130.
Chicago Baydın, Ahmet, Mehmet Ekiz, Türker Yardan, Latif Duran, Canan Doğruel, Çiğdem Ekşi, and Ali Kemal Erenler. “Rectus Sheath Hemorrhage Due To Oral Antıcoagulant Therapy”. Journal of Experimental and Clinical Medicine 26, no. 3 (December 2010): 128-30.
EndNote Baydın A, Ekiz M, Yardan T, Duran L, Doğruel C, Ekşi Ç, Erenler AK (December 1, 2010) Rectus Sheath Hemorrhage Due To Oral Antıcoagulant Therapy. Journal of Experimental and Clinical Medicine 26 3 128–130.
IEEE A. Baydın, “Rectus Sheath Hemorrhage Due To Oral Antıcoagulant Therapy”, J. Exp. Clin. Med., vol. 26, no. 3, pp. 128–130, 2010.
ISNAD Baydın, Ahmet et al. “Rectus Sheath Hemorrhage Due To Oral Antıcoagulant Therapy”. Journal of Experimental and Clinical Medicine 26/3 (December 2010), 128-130.
JAMA Baydın A, Ekiz M, Yardan T, Duran L, Doğruel C, Ekşi Ç, Erenler AK. Rectus Sheath Hemorrhage Due To Oral Antıcoagulant Therapy. J. Exp. Clin. Med. 2010;26:128–130.
MLA Baydın, Ahmet et al. “Rectus Sheath Hemorrhage Due To Oral Antıcoagulant Therapy”. Journal of Experimental and Clinical Medicine, vol. 26, no. 3, 2010, pp. 128-30.
Vancouver Baydın A, Ekiz M, Yardan T, Duran L, Doğruel C, Ekşi Ç, Erenler AK. Rectus Sheath Hemorrhage Due To Oral Antıcoagulant Therapy. J. Exp. Clin. Med. 2010;26(3):128-30.
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