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
From the case:
Rectus sheath hematoma with active extravasation
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Left rectus sheath hematoma comprising three loculations with hematocrit 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 hematoma with hematocrit effect and active contrast media extravasation (i.e. active bleeding) from the inferior epigastric artery.