Abstract:(Spontaneus) Rectus sheath hematoma ((S)RSH) is an accumulation of blood in the sheath of the rectus abdominis muscle, secondary to rupture of an epigastric vessel or muscle tear. It is defined as spontaneous in patients without history of abdominal trauma. It can be located supra- or infraumbilically. Although the exact incidence is unknown, Klingler et al. observed 23 cases (1.8%) of rectus sheath hematoma among 1257 patients evaluated by ultrasound for acute abdominal disorders. Ultrasonography can help i… Show more
“…The predisposing factors for RSH include blunt abdominal trauma, female gender, elderly age group, anticoagulation therapy, pregnancy, and persistent cough [ 5 ]. The more prevalent and widespread use of anticoagulation therapy is believed to be the main reason behind increased incidence and reporting of rectus sheath hematoma in recent literature [ 6 ].…”
Despite being relatively uncommon, abdominal wall hematomas can occur due to blunt trauma, postpercutaneous procedures, anticoagulation, and even spontaneous bleeding. It can present with varying symptoms from acute abdominal pain to life-threatening bleeding causing hypovolemia and shock. With the coronavirus disease 2019 (COVID-19) pandemic, affected patients developed coagulopathy putting patients at risk of venous thromboembolism or excessive bleeding. Herein, we report a case of spontaneous multiple abdominal wall hematomas in a patient after a COVID-19 infection, which was managed conservatively.
“…The predisposing factors for RSH include blunt abdominal trauma, female gender, elderly age group, anticoagulation therapy, pregnancy, and persistent cough [ 5 ]. The more prevalent and widespread use of anticoagulation therapy is believed to be the main reason behind increased incidence and reporting of rectus sheath hematoma in recent literature [ 6 ].…”
Despite being relatively uncommon, abdominal wall hematomas can occur due to blunt trauma, postpercutaneous procedures, anticoagulation, and even spontaneous bleeding. It can present with varying symptoms from acute abdominal pain to life-threatening bleeding causing hypovolemia and shock. With the coronavirus disease 2019 (COVID-19) pandemic, affected patients developed coagulopathy putting patients at risk of venous thromboembolism or excessive bleeding. Herein, we report a case of spontaneous multiple abdominal wall hematomas in a patient after a COVID-19 infection, which was managed conservatively.
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