Open AccessRectus Sheath Haematoma Secondary to Enoxaparin Injection- A Rare Case Report
Author(s) -
Sidharth Agarwal,
Yamanur P. Lamani,
Bhimanagouda V. Goudar,
Eshwar B. Kalburgi,
Bheemappa K. Bhavi
Publication year - 2017
Publication title -
journal of clinical and diagnostic research
Language(s) - Uncategorized
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2017/23849.9589
Subject(s) - medicine , surgery , presentation (obstetrics) , complication , epigastric pain , hypovolemia , case presentation , hematoma , anesthesia , vomiting
Rectus sheath haematoma is a well-documented condition with an elusive diagnosis. It is an uncommon complication of anti-coagulation therapy, which can have a mortality of upto 25%. The patient discussed here is a 40-year-old female who was on Inj. Enoxaparin, who developed severe abdominal pain and hypovolemia after three days of treatment. Ultrasonography and CT scan showed a large rectus sheath haematoma on the right side, which was crossing the midline towards the left side. Inj. Enoxaparin was stopped and the patient was posted for surgery. In surgery, all clots were evacuated and inferior epigastric vessels were ligated. Patient recovered well following surgery. Here, this report presents forward a case of rectus sheath haematoma secondary to enoxaparin injection, its presentation and its surgical management.