Rectus sheath haematoma causing ureteric obstruction

BMJ Case Rep. 2018 Jul 10:2018:bcr2018225671. doi: 10.1136/bcr-2018-225671.

Abstract

Rectus sheath haematoma is an uncommon condition. However, its incidence is increasing, attributed to greater use of anticoagulant therapy. We present the case of an 83-year-old woman on therapeutic enoxaparin for a prior pulmonary embolus who underwent elective right hemicolectomy and developed a rectus sheath haematoma 13 days postoperatively. Her extensive haematoma compressed retroperitoneal structures including the right ureter. She was successfully managed conservatively.

Keywords: general surgery; haematology (drugs and medicines); urological surgery.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / pathology
  • Adenocarcinoma / surgery
  • Aged, 80 and over
  • Anticoagulants / administration & dosage
  • Colonic Neoplasms / pathology
  • Colonic Neoplasms / surgery
  • Enoxaparin / administration & dosage
  • Female
  • Gastrointestinal Hemorrhage / complications
  • Hematoma / diagnostic imaging*
  • Hematoma / therapy
  • Humans
  • Ileus / complications
  • Muscular Diseases / diagnostic imaging*
  • Pneumonia / complications
  • Postoperative Complications / diagnostic imaging*
  • Rectus Abdominis / diagnostic imaging*
  • Tomography, X-Ray Computed
  • Ureteral Obstruction / etiology*
  • Ureteral Obstruction / therapy

Substances

  • Anticoagulants
  • Enoxaparin