Edit concept Question Editor Create issue ticket

Abdominal Wall Hematoma

Abdominal Wall Haematoma


Presentation

  • Abstract An 87-year-old male patient known to have polycythemia vera presented at the hospital as an acute abdominal emergency.[ncbi.nlm.nih.gov]
  • Abstract We present a patient with chronic renal insufficiency who developed a massive posttraumatic abdominal wall hematoma after a single therapeutic dose of enoxaparin administered during workup of chest pain.[ncbi.nlm.nih.gov]
  • Abstract We report a case of a 30-year-old male patient who presented with a huge abdominal wall hematoma 60 minutes after laparoscopic appendectomy. During surgery there had been no sign of abdominal wall bleeding.[ncbi.nlm.nih.gov]
  • The etiologies, presenting findings, diagnostic studies, and modes of therapy reported for abdominal wall hematomas are reviewed.[ncbi.nlm.nih.gov]
  • Abstract A fifty-seven-year-old male patient on warfarin therapy presented to the emergency department with severe abdominal pain that had started after a cough episode and persisted for four days.[ncbi.nlm.nih.gov]
Weight Loss
  • TODAY'S EVENTS Calendar - Hysterectomies - Birthdays Request Information Fibroid Treatments Post-op Intimacy - Weight Loss …more I am a HysterSister HYSTERECTOMY STORIES Featured Story - All Stories - Share Yours FOLLOW US Your Hysterectomy Date CUSTOMIZE[hystersisters.com]
Soft Tissue Mass
  • […] bhau Infectious Diseases Liver abscess Apes Radiology And Nuclear Medicine Soft tissue mass meri Radiology And Nuclear Medicine Infiltrative anterior abdominal wall mass. Differentials include soft tissue sarcoma, fibrosarcoma and Desmond tumor.[app.figure1.com]
Abdominal Pain
  • Although it is a very rare entity, rectus sheath hematoma should be included in the differential diagnosis of every pregnant patient who presents with abdominal pain.[degruyter.com]
  • Abstract A fifty-seven-year-old male patient on warfarin therapy presented to the emergency department with severe abdominal pain that had started after a cough episode and persisted for four days.[ncbi.nlm.nih.gov]
  • Case report: We report a 52 year old female who presented with fever, myalgia and abdominal pain. Dengue IgM was positive. On the 6th day she developed a tender lump over left abdominal wall which increased in size rapidly.[journals.sjp.ac.lk]
  • In severely coughing patients, sudden abdominal pain together with an abdominal painful mass, must alert physicians about the diagnosis of abdominal wall hematoma, especially in patients who are under anticoagulant and antiaggregant therapy.[link.springer.com]
  • Conclusion Keeping a high suspicion of abdominal haemorrhage is important if a patient on long term warfarin therapy presented with abdominal pain.[omicsonline.org]
Abdominal Mass
  • mass is found which does not move with respiration.[howmed.net]
  • The ability to appreciate an intra-abdominal mass is ordinarily degraded with contraction of the rectus muscles.[physiotherapy-treatment.com]
  • Rectus sheath hematomas most often present as acute onset of abdominal pain with a palpable abdominal mass. Additional findings may include: fevers, chills, nausea, vomiting, abdominal tenderness, and abdominal guarding.[radiopaedia.org]
  • mass would be less tender Cullen sign: Periumbilical ecchymosis with retroperitoneal / abdominal wall injury Diagnostic testing Laboratory evaluation General trauma labs Diagnostic imaging Plain films: AP pelvis, CXR, lateral C spine U/S Hemodynamically[fprmed.com]
  • The abdominal mass continued to grow, and the symptoms worsened. The patient was referred to our radiology department for possible intervention at the bleeding sites.[circ.ahajournals.org]
Abdominal Tenderness
  • Additional findings may include: fevers, chills, nausea, vomiting, abdominal tenderness, and abdominal guarding.[radiopaedia.org]
  • Physical examination revealed lower right quadrant pain with involuntary guarding and rebound abdominal tenderness at Mcburney s point. He had 30 IMC. The rest were normal. Laboratory tests showed leukocytosis and neutrophilia.[ispub.com]
Abdominal Wall Pain
  • While there are many causes of abdominal wall pain, 2 this patient’s presentation was more consistent with abdominal muscle pathology.[ultrasoundoftheweek.com]
Decreased Muscle Mass
  • Effect of Sex: 2-3 times more common in females due to decreased muscle mass and also during pregnancy. [5]Treatment: Treatment depends on the extent of injury and haematoma formation. 1.[howmed.net]
Excitement
  • Less Traveled » Abdominal Wall nerve entrapment 6 Replies, The Road Less Traveled Advertisement Hysterectomy News January 30,2019 CURRENT NEWS HysterSisters Takes On Partner To Manage Continued Growth And Longevity I have news that is wonderful and exciting[hystersisters.com]

Workup

  • Abstract We present a patient with chronic renal insufficiency who developed a massive posttraumatic abdominal wall hematoma after a single therapeutic dose of enoxaparin administered during workup of chest pain.[ncbi.nlm.nih.gov]
  • The patient was discharged from the hospital without further complication following an extensive workup and 48 hours of observation. Pathophysiology, evaluation, and treatment are then discussed in detail.[ncbi.nlm.nih.gov]
  • We present a patient with chronic renal insufficiency who developed a massive posttraumatic abdominal wall hematoma after a single therapeutic dose of enoxaparin administered during workup of chest pain.[iths.pure.elsevier.com]
Kingella
  • Medical Illustrations Musculoskeletal Infection Journal Club Jan 2019 Imaging of Kingella kingae musculoskeletal infecti... Dec 2018 CT evaluation of musculoskeletal trauma: initial e... Nov 2018 Thoracic Diseases With Musculoskeletal Manifestati...[ctisus.com]

Treatment

  • In the latter case, although conservative treatment is possible, hospital stay is prolonged and large amounts of blood-bank resources are consumed.[ncbi.nlm.nih.gov]
  • Pathophysiology, evaluation, and treatment are then discussed in detail.[ncbi.nlm.nih.gov]
  • Effect of Sex: 2-3 times more common in females due to decreased muscle mass and also during pregnancy. [5]Treatment: Treatment depends on the extent of injury and haematoma formation. 1.[howmed.net]
  • The patient was not stabilized by conservative treatment, and inferior epigastric artery injury was confirmed on angiography.[ncbi.nlm.nih.gov]
  • Warfarin treatment was reinitiated as small dose with adjustment of the dose during hospital stay.[omicsonline.org]

Prognosis

  • […] along the transversalis fascial plane or cross the midline 6 type III: large, usually below the arcuate line , and often presents with evidence of hemoperitoneum and/or blood within the prevesical space of Retzius (retropubic space) 6 Treatment and prognosis[radiopaedia.org]
  • The location of a hematoma plays a role in its prognosis . From Reviewed by: Tova Alladice, M.D. American Board of Physical Medicine & Rehabilitation[rxlist.com]

Etiology

  • The etiologies, presenting findings, diagnostic studies, and modes of therapy reported for abdominal wall hematomas are reviewed.[ncbi.nlm.nih.gov]
  • Etiology The majority of hematomas result from the rupture of epigastric vessels or by tearing of the fibers of the rectus abdominis muscle.[radiopaedia.org]

Epidemiology

  • Landefeld CS, Beyth RJ (1993) Anticoagulant-related bleeding: clinical epidemiology, prediction and prevention. Am J Med 95: 315-328. Coon WW, Willis PW 3rd (1974) Hemorrhagic complications of anticoagulant therapy. Arch Intern Med 133: 386-392.[omicsonline.org]
  • Anticoagulant-related bleeding: clinical epidemiology, prediction, and prevention. Am J Med . 1993 ; 95 : 315–328. Crossref Medline Google Scholar 3 Cherry WB, Mueller PS. Rectus sheath hematoma: review of 126 cases at a single institution.[circ.ahajournals.org]
Sex distribution
Age distribution

Pathophysiology

  • Pathophysiology, evaluation, and treatment are then discussed in detail.[ncbi.nlm.nih.gov]
  • Abdominal Wall Trauma Background Injury to abdominal wall Contusions Strong abdominal muscle contractions Strenuous activity Coughing / valsalva (repeated) Commonly missed diagnosis Pathophysiology Injury mechanism: Seatbelt injuries Can cause avulsion[fprmed.com]

Prevention

  • We conclude that trocar injury is a potentially preventable complication in laparoscopic surgery if certain precautions are taken.[ncbi.nlm.nih.gov]
  • Computerized tomography or ultrasonography of the abdomen can aid in making the diagnosis and preventing unnecessary surgical intervention.[ncbi.nlm.nih.gov]
  • For means to prevent intraoperative bleeding and the occurrence of abdominal wall hematoma, we studied the course of the inferior epigastric arteries and the ascending branch of the deep circumflex iliac artery in 21 human cadavers.[ncbi.nlm.nih.gov]
  • It is indicated for the prevention of systemic embolism in patients with prosthetic heart valves or atrial fibrillation and for the primary and secondary prevention of venous thromboembolism [ 2 , 9 ].[omicsonline.org]
  • Computerized tomography or ultrasonography of the abdomen can aid in making the diagnosis and preventing unnecessary surgical intervention. 1984 S.[karger.com]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!