768 results match your criteria: "Rectus Sheath Hematoma"

Background: Spontaneous intramuscular haematomas by definition are haematomas without known etiology and exclude those caused by trauma, surgery, and muscular disease. This is a rare condition which has been increasing in incidence lately largely due to anticoagulant therapy use and currently, there is no level 1 evidence with regards to the best management of these patients, with different institutions using different approaches to treatment.

Materials And Methods: We retrospectively analyzed 31 patients who were treated with the diagnosis of spontaneous intramuscular haematoma in our center, in the years between 2013 and 2017.

View Article and Find Full Text PDF

Background: This study aimed to introduce and evaluate a new treatment method for rectus sheath hematoma: ultrasound-guided suction using negative pressure, curettage, and percutaneous drainage.

Methods: This retrospective study involved five patients with rectus sheath hematoma rectus sheath hematoma who had cesarean sections. For all patients, ultrasound revealed that the maximum diameter of their hematoma exceeded 70 mm.

View Article and Find Full Text PDF

Acute obstructive uropathy secondary to a rectus sheath haematoma in an anticoagulated patient.

J Surg Case Rep

November 2024

Acute Surgical Unit, Fiona Stanley Hospital, 11 Robin Warren Drive, Murdoch, Western Australia, 6150, Australia.

A rectus sheath haematoma (RSH) is a relatively rare cause of acute abdominal pain that is becoming more prevalent due to an increase in anticoagulant therapy. Of its associated complications, acute obstructive uropathy is exceedingly rare. This is a case of a 62-year-old lady who presented with abdominal pain caused by an RSH which then led to obstructive uropathy.

View Article and Find Full Text PDF

Spontaneous rectus sheath hematoma complicated by deep venous thrombosis: A case report.

Medicine (Baltimore)

October 2024

Department of Human Anatomy and Medical Physiology, Faculty of Health Sciences, University of Nairobi, Nairobi, Kenya.

Rationale: Rectus sheath hematoma (RSH) is an unusual cause of acute abdominal pain. It is more common in elderly patients on anticoagulation. The diagnosis is often challenging, as it mimics other more common causes of acute abdomen.

View Article and Find Full Text PDF

Transplantation of chemically induced pluripotent stem-cell-derived islets under abdominal anterior rectus sheath in a type 1 diabetes patient.

Cell

October 2024

Research Institute of Transplant Medicine, Organ Transplant Center, Tianjin First Central Hospital, School of Medicine, Nankai University, NHC Key Laboratory for Critical Care Medicine, Key Laboratory of Transplant Medicine, Chinese Academy of Medical Sciences, Tianjin 300192, China. Electronic address:

Article Synopsis
  • Preliminary results from a phase I clinical trial show positive outcomes for a patient receiving autologous transplantation of chemically induced pluripotent stem cell-derived islets (CiPSC islets) to treat type 1 diabetes.
  • After 75 days post-transplant, the patient achieved sustained insulin independence, and their time-in-target glycemic range significantly improved from 43.18% to 96.21%.
  • At the 1-year mark, the patient maintained stable glycemic control, with over 98% time-in-target and glycated hemoglobin levels around 5%, indicating the need for further studies on CiPSC-islet transplantation.
View Article and Find Full Text PDF

Purpose: Transabdominal preperitoneal (TAPP) ventral hernia repair requires incising the peritoneum from within the abdominal cavity, developing a flap, and placing a reinforcing mesh after fascial closure from the preperitoneal space. We present a novel adaptation to this technique that allows placement of preperitoneal mesh without entering the abdominal cavity. The robotic totally extra- and preperitoneal (R-PeTEP) access for ventral hernia repair is best suited for small to moderate sized ventral hernias with concomitant diastasis recti.

View Article and Find Full Text PDF

Objective: Phase 1: to determine the feasibility of desensitizing ventral branches of spinal nerves within the rectus sheath using an ultrasound-guided rectus sheath block (USRSB). Phase 2: to determine the effect of preoperative USRSB on intraoperative responses to surgical stimulation and postoperative pain.

Study Design: Cadaveric study and prospective, randomized, blinded, parallel-arm clinical trial.

View Article and Find Full Text PDF

Laparoscopic surgery has become a widely accepted standard of care for numerous procedures in the modern world. Nearly every major surgical procedure previously only possible by employing open techniques may now be completed laparoscopically, attributable to the quick advancement of technology and surgeons' abilities. There are several complications associated with the laparoscopic port site, either infective, non-infective, or neoplastic.

View Article and Find Full Text PDF

[A case of massive intrathecal hematoma of the rectus abdominis secondary to acute severe carbon monoxide poisoning].

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi

July 2024

Emergency Department, Taihe Hospital, Hubei University of Medicine, Shiyan 442012, China.

Acute carbon monoxide poisoning can cause hypoxic injury to multiple organs. Neurological impairment and cardiac dysfunction are common manifestations of severe poisoning patients, but hemorrhagic complications are rare in clinic. The clinical diagnosis and treatment of a case of massive intrathecal hematoma of the rectus abdominis secondary to acute severe carbon monoxide poisoning was reported.

View Article and Find Full Text PDF

Purpose: To determine the effectiveness of vacuum-assisted wound closure and mesh-mediated fascial traction (VAWCM) in patients undergoing open abdomen management (OAM).

Methods: Data from cases with OAM for at least five days who were admitted to our institution between January 2011 and December 2020 were included. We compared the patient's age, sex, medical history, indication for initial surgery, APACHE II scores, indication for OAM, operative time, intraoperative blood loss, intraoperative transfusion, success of primary fascial closure (rectus fascial closure and bilateral anterior rectus abdominis sheath turnover flap method), success of planned ventral hernia, duration of OAM, and in-hospital mortality between patients undergoing VAWCM (VAWCM cases, n = 27) and vacuum-assisted wound closure (VAWC) alone (VAWC cases, n = 25).

View Article and Find Full Text PDF

Rectus sheath hematoma combined with COVID-19: A case report.

World J Clin Cases

July 2024

Department of Obstetrics & Gynecology, Hubei Maternal and Child Health Hospital, Wuhan 430070, Hubei Province, China.

Background: Rectus sheath hematoma (RSH) is uncommon, and because people have limited knowledge about it, it is difficult to recognize the symptoms in time, often de-laying optimal treatment.

Case Summary: Herein, we report a case of a 77-year-old female with RSH. The patient was treated at our hospital for coronavirus disease 2019.

View Article and Find Full Text PDF

Introduction: Rectus sheath hematomas (RSHs) can occur from the rupture of the epigastric arteries, leading to blood accumulation within the rectus abdominis sheath. Herein, we report the unique case of an RSH resulting in acute ureteral obstruction, which was associated with the use of a handheld deep-tissue percussive massage device in attempts to relieve abdominal pain.

Case Report: A morbidly obese man in his late 50s was admitted with complications of COVID-19, including acute respiratory syndrome, bilateral peroneal deep vein thromboses, and acute kidney injury.

View Article and Find Full Text PDF

Background: The standard treatment for rectus diastasis is rectus sheath plication during abdominoplasty. Lasting correction of diastasis is essential, but there is currently a debate as to whether absorbable or nonabsorbable rectus plication achieves a lower rate of recurrence.

Objectives: The goal of this study is to assess long-term patient outcomes and the recurrence of rectus diastasis after plication with long-lasting absorbable sutures.

View Article and Find Full Text PDF
Article Synopsis
  • * Imaging tests revealed a rectus sheath hematoma (RSH), which is a rare condition where blood collects in the sheath surrounding the rectus abdominis muscle.
  • * The authors discuss the causes of RSH, including muscle tears and ruptured arteries, along with how it presents, how it is diagnosed, and how it can be managed.
View Article and Find Full Text PDF

Background: The Trans Rectus Sheath Extra-Peritoneal Procedure (TREPP) is an open procedure in which the mesh is placed in the preperitoneal space and is therefore associated with less chronic post-operative inguinal pain. TREPP is primarily performed under general or spinal anesthesia, however, it is also possible to perform under sedation and local anesthesia with potentially advantages. This retrospective feasibility pilot study investigates the safety and efficiency of TREPP under local anesthesia in the outpatient clinic in comparison with Lichtenstein.

View Article and Find Full Text PDF

Introduction And Importance: Bicornuate uterus is a rare type of congenital mullerian anomaly, presenting as a diagnostic challenge. Metroplasty either via an open approach or laparoscopically can be performed to definitively diagnose and treat the defect.

Case Presentation: A 26-year-old female, with no known comorbids and past surgical history of endometriotic cyst excision presented with acute symptoms of left lower abdominal pain, burning micturition, and relative constipation.

View Article and Find Full Text PDF

The COVID-19 pandemic has had an enormous impact on the healthcare systems. Along with its common complications, novel complications such as Rectus Sheath Hematoma (RSH) have been reported. We present 2 cases of RSH.

View Article and Find Full Text PDF

Introduction And Importance: Herein, we present an unexpected rectus sheath hematoma (RSH) complication due to chronic COVID-19 related cough and prolonged anticoagulation therapy. COVID-19 usually presents with respiratory symptoms, such as cough. Anticoagulants are used in severe cases of COVID-19 as well as in mechanical heart valve replacement to prevent thrombosis.

View Article and Find Full Text PDF

Rectus sheath hematoma is a well-recognized, uncommon clinical entity and may not be the initial consideration when evaluating a postpartum patient with abdominal pain or mass. Here, we report three cases of postpartum rectus sheath hematomas (RSH) managed during the last three years. The mean age of the patient was 28 (25-30) years.

View Article and Find Full Text PDF

Background: While there are multiple guidelines for the management of bleeding complications and hematoma if being treated with antithrombotic and anticoagulant drugs, these risks are not yet stratified for procedures with regional anesthesia.

Materials And Methods: This study was an umbrella review of systematic studies and meta-analysis based on PRISMA guidelines in databases of Scopus, PubMed, Medline, Cochrane Library, and Web of Science databases. Due to heterogeneity in evaluated outcomes and methods of studies, only the qualitative evidence synthesis was performed.

View Article and Find Full Text PDF
Article Synopsis
  • - A 65-year-old man with a history of kidney transplant was admitted to the ICU due to a severe bacterial infection and tested positive for COVID-19, but showed improvement and was moved to the general ward after three days.
  • - On the fourth day, he developed abdominal pain, and a mass was detected in his abdomen.
  • - By the fifth day, imaging revealed a rare and extensive rectus sheath hematoma caused by bleeding from a small artery; treatment involved stopping anticoagulation and performing arterial embolization, highlighting the risk for such conditions in transplant patients on blood thinners.
View Article and Find Full Text PDF
Article Synopsis
  • The study assessed the use of a new embolic agent, Obsidio conformable embolic (OCE), for managing acute bleeding through transarterial embolization in 11 patients.
  • Technical success was achieved in all cases, with a 100% rate of successfully stopping bleeding in various conditions, including tumor bleeding and hematuria.
  • The procedure had a favorable safety profile, with no complications or unintended embolization observed, indicating OCE's effectiveness and safety for such interventions.
View Article and Find Full Text PDF

Spontaneous rectus sheath hematoma revealed by abdominal pain during pregnancy: A case report.

Int J Surg Case Rep

May 2024

University of Sousse, Faculty of Medicine, Department of Orthopedic Surgery, Ibn El Jazzar Hospital, Kairouan, Tunisia.

Introduction And Importance: Rectus sheath hematoma (RSH) is an uncommon but significant cause of acute abdominal pain in pregnancy, challenging in both diagnosis and treatment. It often arises from ruptured epigastric vessels and is associated with factors like anticoagulation therapy and previous abdominal surgery. Misdiagnosis, due to nonspecific symptoms, frequently leads to unnecessary surgeries, posing substantial risks to maternal and fetal health.

View Article and Find Full Text PDF

A 68-year-old woman was admitted to our hospital because of a rapid progression of renal dysfunction with positive myeloperoxidase antineutrophil cytoplasmic antibody and was diagnosed with rapidly progressive glomerulonephritis associated with microscopic polyangiitis (MPA). Severe right rectus sheath hematoma (RSH) bleeding from the inferior epigastric artery developed after starting hemodialysis, which required 4 transarterial embolizations due to recurrent bleeding. After additional treatment with methylprednisolone pulse therapy and rituximab, no rebleeding occurred.

View Article and Find Full Text PDF