Abdominal pain and cardiac arrest. An unusual presentation of rectus hematoma.

Authors

  • José Luis Zambrana-Luque Línea de Procesos Médicos. Hospital de Montilla. Montilla (Córdoba). España
  • Francisco José Caballero-Güeto Línea de Procesos Críticos y Urgentes. Hospital de Montilla. Montilla (Córdoba). España
  • Francisco José Conde-Ortega Línea de Procesos Quirúrgicos. Hospital de Montilla. Montilla (Córdoba). España
  • José Luis Zambrana-García Línea de Procesos Médicos. Hospital de Montilla. Montilla (Córdoba). España

DOI:

https://doi.org/10.32818/reccmi.a3n2a8

Keywords:

spontaneous hematoma, anterior rectus muscle hematoma.

Abstract

Spontaneous hematoma of the rectus abdominis sheath is a cause of infrequent abdominal pain. Most common form of presentation is abdominal pain of sudden onset, followed by the finding of an abdominal mass. In the case of large bruises these can cause symptoms and signs derived from hypovolemia. Anticoagulant therapy is considered the most frequent risk factor, especially if the patients are elderly women whose onset of symptoms appeared after a coughing attack. We present a case of a spontaneous straight hematoma sheath presenting as a sudden cardiac arrest that ultimately caused the death of the patient.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Hatjipetrou A, Anyfantakis D, Kastanakis M. Rectus sheath hematoma: a review of the literature. Int J Surg. 2015; 13: 267-271.

Smithson A, Ruiz J, Perello R, Valverde M, Ramos J, Garzo L. Diagnostic and management of spontaneous rectus sheath hematoma. Eur J Intern Med. 2013; 24: 579-582.

Salemis NS, Gourgiotis S. Karalis G. Diagnostic evaluation and management of patients with rectus sheath hematoma. A retrospective study. Int J Surg. 2010; 290-293.

Fitzgerald JE, Fitzgerald LA, Anderson FE, Acheson AG. The changing nature of rectus sheath haematoma: case series and literature review. Int J Surg. 2009; 7: 150-154.

Cherry WB, Mueller PS. Rectus sheath hematoma: review of 126 cases at a single institution. Medicine 2006; 85: 105-110.

Jafferbhoy SF, Rustum Q, Shiwani MH. Abdominal compartment syndrome-a fatal complication from a rectus sheath haematoma. BMJ Case Rep. 2012 (citado 15 julio 2018). Disponible en: http://dx.doi.org/10.1136/bcr.12.2011.5332

McCarthy DM, Bellam S. Fatal spontaneous rectus sheath hematoma in a patient with cirrhosis. J Emerg Trauma Shock. 2010; 3: 300.

Ducatman BS, Ludwig J, Hurt RD. Fatal rectus sheath hematoma. J Am Med Assoc. 1983; 249: 924-925.

Published

2018-08-31

How to Cite

1.
Zambrana-Luque JL, Caballero-Güeto FJ, Conde-Ortega FJ, Zambrana-García JL. Abdominal pain and cardiac arrest. An unusual presentation of rectus hematoma. Rev Esp Casos Clin Med Intern [Internet]. 2018 Aug. 31 [cited 2024 Jul. 3];3(2):66-8. Available from: https://www.reccmi.com/RECCMI/article/view/292