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KMID : 0383820100690060480
Tuberculosis and Respiratory Diseases
2010 Volume.69 No. 6 p.480 ~ p.482
A Case of Rectus Sheath Hematoma Complicated with Hypovolemic Shock in a Critically-Ill Patient
Shin Hong-Joon

Kim Yoon-Hee
Chi Su-Young
Ban Hee-Jung
Kwon Yong-Soo
Oh In-Jae
Kim Kyu-Sik
Lim Sung-Chul
Kim Young-Chul
Kim Soo-Ok
Abstract
Rectus sheath hematoma (RSH) is a rare condition caused by hemorrhage into the rectus sheath. It is usually associated with severe cough, abdominal surgery, coagulopathy, and anticoagulation treatment. RSH can be difficult to diagnose and can be misdiagnosed as acute appendicitis, as diverticulitis, or as an ovarian mass. Although RSH usually presents as a benign condition, it can be life threatening, especially in the critically-ill patient. Here, we report a case of fatal RSH due to hypovolemic shock in a critically-ill 73-year-old woman, who had received heparin treatment due to acute myocardial infarction in the intensive care unit and who had been successfully treated by conservative management.
KEYWORD
Hematoma, Rectus Abdominis, Shock
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