Surgical management of left upper quadrant sided rectus sheath hematoma occurred by coughing in a hemodialysis patient

Rectus sheath hematoma (RSH) is a rarely-occurring disease that is usually associated with anticoagulation, trauma, or spontaneous events. Most spontaneous rectus sheath hematomas may be relieved with conservative management. However, some extreme situations need surgical approach. Respecting the fa...

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Bibliographic Details
Published inInternational surgery Vol. 100; no. 1; pp. 190 - 192
Main Authors Yun, Sangchul, Cho, Sungwoo, Kim, Zisun, Chong, Han Ul, Kim, Jae Joon
Format Journal Article
LanguageEnglish
Published Italy The International College of Surgeons, World Federation of General Surgeons and Surgical Specialists, Inc 01.01.2015
Subjects
Epigastric Arteries - surgery
Hematoma - diagnosis
Hematoma - surgery
Humans
Ligation
Male
Middle Aged
Muscular Diseases - diagnosis
Muscular Diseases - surgery
Rectus Abdominis - blood supply
Rectus Abdominis - surgery
Vascular Surgery
Rectus abdominis
Hematoma
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Summary:Rectus sheath hematoma (RSH) is a rarely-occurring disease that is usually associated with anticoagulation, trauma, or spontaneous events. Most spontaneous rectus sheath hematomas may be relieved with conservative management. However, some extreme situations need surgical approach. Respecting the fact that the inferior epigastric artery mainly supplies the rectus abdominis muscle, interrupting its proximal side would cease the bleeding. We present a stepped procedure of ligation of the inferior epigastric artery and evacuation of hematoma with good field of vision in case of rectus sheath hematoma in hemodialysis patient.
ISSN:0020-8868
2520-2456
DOI:10.9738/intsurg-d-13-00283.1