Rectus sheath haematoma with active extravasation

Case contributed by Dr Yair Glick

Presentation

Upper abdominal pain, mass palpated in upper abdomen. Medicated with warfarin due to atrial fibrillation, INR 4.

Patient Data

Age: 75 years
Gender: Female

Left rectus sheath haematoma comprising three loculations with haematocrit effect. There is active extravasation from the left inferior epigastric artery.

Prior sternotomy. Markedly enlarged right atrium.
Mildly dilated intrahepatic bile ducts.
Small right kidney, 7.1 cm in length.
Severe lumbar scoliosis convex to the right.
Internal fixation (DHS) of left femoral neck.

Case Discussion

Example of rectus sheath haematoma with haematocrit effect and active contrast media extravasation (i.e. active bleeding) from the inferior epigastric artery.

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Case information

rID: 55889
Case created: 28th Sep 2017
Last edited: 29th Sep 2017
System: Vascular
Inclusion in quiz mode: Included
Institution: Hillel Yaffe Medical Center

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