Conservative treatment of rectus sheath hematoma after diagnostic laparoscopy

Abstract

This case report aims to present rectus sheath hematoma's diagnosis and conservative treatment process after diagnostic laparoscopy in a patient with right lower quadrant pain. A sixty-seven-year-old lady was admitted with abdominal pain, right inguinal pain, and nausea for about five days. She had coronary artery disease followed by acetylsalicylic acid. On physical examination of the abdomen, there was tenderness and defence on deep palpation. No pathology was seen on laboratory parameters, ultrasonography (USG) and computed tomography (CT). Despite medical treatment, the patient's complaints did not improve, so a laparoscopic appendectomy was performed. A mass was detected in the left lower abdominal wall of the patient at the sixth postoperative hour. The control hemogram level of the patient was 10.8 g/L, a 3.7 g/L haemoglobin decrease compared to the preoperative period. A left rectus sheath hematoma was detected on CT. The hematoma was treated conservatively. On the 12th day of her hospitalisation, the patient with a haemoglobin value of 10.9 g / L was discharged without complications.