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- Title
Antikoagülan Tedavi ve Rektus Kılıf Hematomu.
- Authors
Üzer, Fatih; Özdemir, Tülay
- Abstract
Objective: We reviewed the clinical features, treatment, and outcomes of 17 patients diagnosed with Rectus Sheath Hematoma. Methods: In this observational study, patients diagnosed with RSH in Akdeniz University chest diseases clinic from December 31, 2012, to December 31, 2016 were investigated. RSH was confirmed by radiological investigations. Demographic characteristics, clinic features and comorbidities, physical examination leading to diagnosis, laboratory study results, imaging methods, treatment, and outcomes of 17 patients diagnosed with RSH were investigated. Results:Twelve (70.5%) female and 5 (29.5%) male were followed up due to RSH in our Chest Diseases Clinic between December 2012 and December 2016. The mean age of all cases was 72.9 (range of distribution 42-89), while the mean age of female patients was 73.0 (range 54-87) and male 72.2 (range 42-89). The most common presenting symptoms were abdominal pain (14 cases), hematuria (2 cases) and a case of groin pain. All patients received anticoagulant treatment (11 enoxaparin sodium, 4 warfarin sodium, 1 rivaroxaban) except one. The diagnosis of RSH was confirmed by ultrasonography in 13 cases and computerized tomography in 3 other cases. Conservative treatment response was obtained in 11 of the patients, while 6 patients developed hypotensive shock and died. Conclusion: Rectus sheath hematoma should be considered in the diagnosis of acute sepsis in patients with subclass low molecular weight heparin (LMWH) treatment and sudden onset of mass. RSH is more common in women and in patients using anticoagulants.
- Subjects
TURKEY; ABDOMINAL pain; ANTICOAGULANTS; COMPUTED tomography; HEMATOMA; HEMATURIA; SCIENTIFIC observation; ULTRASONIC imaging; TREATMENT effectiveness; GROIN pain; RECTUS abdominis muscles
- Publication
Konuralp Medical Journal / Konuralp Tip Dergisi, 2020, Vol 12, Issue 1, p61
- ISSN
1309-3878
- Publication type
Article
- DOI
10.18521/ktd.460383