Anticoagulant therapy and rectus sheath hematoma

Embolization of Inferior Epigastric Artery for Treatment of Rectus Sheath Hematoma Caused by Insulin Injection During Anticoagulation and Antiplatelet Therapy

“…The other predisposing factor is anticoagulation therapy with heparin, low molecular weight heparin, warfarin, and antiplatelet agents. Rectus sheath hematoma is reported in many cases under anticoagulation [1][2][3][4][5][6] . In our case, the patient was treated anticoagulation therapy including low molecular weight heparin at other hospital and heparin, aspirin, clopidogrel in our hospital.…”

“…Our patient was successful in angiographic embolization. If angiography with embolization was unsuccessful, surgical treatment was the next choice 6,13) . Anticoagulation and antiplatelet therapy always have a risk of bleeding and hematoma.…”

“…Cases of rectus sheath hematoma are most frequently encountered in association with anticoagulation therapy, trauma, operation, and hematologic disorder. It rarely happens spontaneously [1][2][3][4][5][6] . Most patients can be successfully treated with supportive care (intravenous fluids, pain management) with or without blood transfusion.…”

A Rare Complication in Hemodialysis Patients Due To Use of Low Molecular Weight Heparin; Abdominal Rectus Sheath Hematoma

“…(7). Risk faktörleri travma, hızlı ve ani pozisyon değişiklikleri, antikoagülan tedavi, yeni geçirilmiş cerrahi operasyon, astım-KOAH alevlenmesi ile öksürük atakları, enjeksiyonlar ve gebeliktir (8). Bizim olgumuzda hastanın diyaliz sırasında haftada 3 kez DMAH kullanması dı-şında ek risk faktörü saptanmadı.…”

Spontaneous rectus sheath hematoma in patients on anticoagulation therapy

“…The anatomical feature predisposes to vessel rupture with accumulation of large hematomas. [10] The classical clinical description of RSH includes sudden onset of abdominal pain that is often associated with nausea, fever and vomiting. Patients may present with Fothergill's sign including a painful, palpable mass in the abdominal wall that does not cross the midline.…”