Rektus Kılıfı Hematomu: Olgu Sunumu

Öz

Rectus sheath hematoma is an uncommon cause of abdominal pains. It usually occurs spontaneously or after trauma. In diagnosis, clinical, laboratory and radiologic data are used. Ultrasonography and computerized tomography allow correct diagnosis of rectus sheath hematoma. The incorrect diagnosis can cause negative laporotomies with high rate of mortality and morbidity. The conservative treatment method should be preferred in hemodynamically stable patients.

Anahtar Kelimeler

• Abdominal pain, Rectus sheath, Trauma, Conservative treatment.

Rectus Sheath Hematoma: Case Report

Öz

Rectus sheath hematoma is an uncommon cause of abdominal pains. It usually occurs spontaneously or after trauma. In diagnosis, clinical, laboratory and radiologic data are used. Ultrasonography and computerized tomography allow correct diagnosis of rectus sheath hematoma. The incorrect diagnosis can cause negative laporotomies with high rate of mortality and morbidity. The conservative treatment method should be preferred in hemodynamically stable patients

Anahtar Kelimeler

• Abdominal pain, Rectus sheath, Trauma, Conservative treatment

Kaynakça

1. Verhagen HJ, Tolenaar PL, Sybrandy R. Haematoma of the rectus abdominis muscle. Eur J Surg 1993;159:335-8.
2. Sharma H, Shekhawat NS, Bhandari S, Memon B, Memon MA. Rectus sheath haematoma: a rare presentation of non-contact strenuous exercises. Br J Sports Med 2007;41:688-90
3. Holmes SJ, Yale SH, Mazza JJ. Rectus Sheath Hematoma as a Cause of Acute Abdominal Pain. American Family Physicians 2001;64:1681-2.
4. Wegener ME, Ghani A. Rectus sheath hematomas in hematological disorders. Am Surg 1994; 60:424-6.
5. Donaldson J, Knowles CH, Clark SK, Renfrew I, Lobo MD. Rectus Sheath Haematoma Associated with Low Molecular Weight Heparin: A Case Series. Ann R Coll Surg Engl 2007;89: 309-12.
6. Denard PJ, Fetter JC, Zacharski LR. Rectus sheath hematoma complicating low-molecular weight heparin therapy. Int J Lab Hematol 2007;29:190-4.
7. Papadimitropoulos K, Condilis N, Philippou P, Birbilis A. Rectus sheath haematoma. report of two cases. Ann Ital Chir 2007;78:447-50.
8. Deb S, Hoo P, Chilaka V. Rectus sheath haematoma in pregnancy: a clinical challenge. J. Obstet Gynaecol 2006;26:822-3.

9. Siu WT, Tang CN, Law BK, Chau CH, Li MKW. Spontaneous rectus sheath hematoma. J Can Chir 2003;46: 390-1.
10. Maharaj D, Ramdass M, Teelucksingh S, Perry A, Naraynsingh V. Rectus sheath haematoma: a new set of diagnostic features. Postgrad Med J 2002;78:755-6.
11. Gallego AM, Aguayo JL, Flores B, at al. Ultrasonography and computed tomography reduce unnecessary surgery in abdominal rectus sheath haematoma. Br J Surg 1997;84:1295-7
12. Cherry WB, Mueller PS. Rectus sheath hematoma: review of 126 cases at a single institution. Medicine (Baltimore) 2006; 85:105-10.
13. Lohle PN, Puylaert JB, Coerkamp EG, Hermans ET. Nonpalpable rectus sheath hematoma clinically masquerading as appendicitis: US and CT diagnosis. Abdom Imaging 1995;20:152-4.
14. Berná JD, Garcia-Medina V, Guirao J, Garcia-Medina J. Rectus sheath hematoma: diagnostic classification by CT. Abdom Imaging 1996;21:62-4.
15. George P, Phillip NP, Pawar B, Solomon L. Inferior vena cava thrombosis following rectus sheath haematoma. Singapore Med J 2008; 49:50-2.
16. Wong JHM, Man Ng SS, Ho SSM, Lee JFY. Transcatheter Arterial Embolization of Spontaneous Rectus Sheath Haematoma in a Chinese Woman. Asian J Surg 2008; 31:36-9.