Rectus sheath hematoma complicated by deep vein thrombosis

Hannu Savolainen; Andreas Vogt; Felix Nohl; Hans-Peter Dinkel; Pascal Berdat; Beat Kipfer

doi:10.1007/s00547-003-1003-5

International Journal of Angiology, Table of Contents

Int J Angiol 2003; 12(2): 129-131
DOI: 10.1007/s00547-003-1003-5

Original Articles

Rectus sheath hematoma complicated by deep vein thrombosis

Hannu Savolainen¹ , Andreas Vogt² , Felix Nohl³ , Hans-Peter Dinkel⁴ , Pascal Berdat¹ , Beat Kipfer¹

¹Department of Cardiovascular Surgery, University Hospital, Inselspital, Berne, Switzerland
²Department of Anaesthesiology, University Hospital, Inselspital, Berne, Switzerland
³Department of Emergency Medicine, University Hospital, Inselspital, Berne, Switzerland
⁴Department of Radiology, University Hospital, Inselspital, Berne, Switzerland

Abstract

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Abstract

A 63-year-old previously healthy female on no medications was admitted in the emergency department due to pain in the left flank. Initially, she was hemodynamically stable. During the initial examination she became unstable. An ultrasound examination showed a large retroperitoneal hematoma, and a computerized tomography showed a hematoma of the rectus sheath as well. The patient was admitted in the Intensive Care Unit. Due to signs of elevated intra-abdominal pressure and deep vein thrombosis of the left lower extremity, a surgical evacuation of the hematoma was performed the day after. It had to be repeated due to continued bleeding 24 hours later. The management and possible sequelae of rectus sheath hematoma are discussed.

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