An Uncommon Presentation of Spontaneous Rectus Sheath Hematoma with Acute Kidney Injury due to Obstructive Uropathy and Prerenal Azotemia | Zendy

Eleni Paschou | Zendy; Eleni Gavriilaki | Zendy; Asterios Kalaitzoglou | Zendy; Maria Mourounoglou | Zendy; Nikolaos Sabanis | Zendy

Open Access

An Uncommon Presentation of Spontaneous Rectus Sheath Hematoma with Acute Kidney Injury due to Obstructive Uropathy and Prerenal Azotemia

Author(s) -

Eleni Paschou,

Eleni Gavriilaki,

Asterios Kalaitzoglou,

Maria Mourounoglou,

Nikolaos Sabanis

Publication year - 2014

Publication title -

case reports in emergency medicine

Language(s) - English

Resource type - Journals

eISSN - 2090-648X

pISSN - 2090-6498

DOI - 10.1155/2014/164245

Subject(s) - medicine , obstructive uropathy , fresh frozen plasma , surgery , rectus sheath , hematoma , abdominal pain , acute kidney injury , myocardial infarction , anticoagulant , abdominal wall , urinary system , platelet

Rectus Sheath Hematoma (RSH) represents an unusual entity which is characterized by acute abdominal pain and tender palpable abdominal mass usually, among elderly patients receiving anticoagulant therapy. We report the case of an 81-year-old woman admitted to our department due to acute abdominal pain and oligoanuria. The patient had recently been hospitalized due to acute myocardial infarction (AMI) and atrial fibrillation (AF) and received both anticoagulant and antiplatelet therapies. The radiological assessments revealed an extended Rectus Sheath Hematoma and bilateral hydronephrosis. Treatment of the hematoma required cessation of anticoagulants and antiplatelet agents, immobilization, blood and fresh frozen plasma transfusion, and administration of vasopressors. The patient recovered gradually and was discharged home fifteen (15) days later.

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