Management of spontaneous major rectus sheath hematoma in a COVID-19 patient: A case report and literature review

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dc.authorid0000-0003-3468-7712
dc.contributor.authorKırkan, Emre Furkan
dc.contributor.authorÜlgür, Hanife Şeyda
dc.contributor.authorCömert, Sena
dc.contributor.authorErol, Cengiz
dc.contributor.authorYıldırak, Muhammed Kadir
dc.contributor.authorÖzkan, Ömer Faruk
dc.date.accessioned2022-10-07T06:03:24Z
dc.date.available2022-10-07T06:03:24Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Radyoloji Ana Bilim Dalı
dc.description.abstractA rectus sheath hematoma, which is mostly encountered due to abdominal traumas or anticoagulant use, can be challenging, and a delayed diagnosis may lead to hypovolemic shock and even death. In this study, we aimed to present the management of a case of rectus sheath hematoma that developed in a patient who was hospitalized and under coronavirus disease 2019 (COVID-19) treatment. A 70-year-old female patient was admitted to the intensive care unit (ICU) due to respiratory failure and developed a sudden onset of tachycardia and hypotension. The patient was then diagnosed with a rectus sheath hematoma and after ensuring hemodynamic stability she was treated with angiographic embolization. Following the treatment, the patient remained hemodynamically stable and a control computed tomography (CT) revealed regression in the hematoma. Rectus sheath hematomas especially accompanied by additional comorbidities or aggressive surgical interventions may result in high mortality rates in the early period. It should also be kept in mind that during the COVID-19 pandemic, which has affected the world in the last two years, rectus sheath hematomas may be the underlying cause of sudden hypotension and abdominal distension, and it should not be forgotten that angiographic embolization performed by experienced interventional radiologists is the mainstay of treatment in cases where hemodynamic stability can't be achieved.
dc.identifier.citationKırkan, E. F., Ülgür, H. Ş., Cömert, S., Erol, C., Yıldırak, M. K. ve Özkan, Ö. F. (2022). Management of spontaneous major rectus sheath hematoma in a COVID-19 patient: A case report and literature review. Cureus Journal of Medical Science, 14(9). https://doi.org/10.7759/cureus.29206
dc.identifier.doi10.7759/cureus.29206
dc.identifier.issn2168-8184
dc.identifier.issue9
dc.identifier.pmid36258938
dc.identifier.urihttps://doi.org/10.7759/cureus.29206
dc.identifier.urihttps://hdl.handle.net/20.500.12511/9801
dc.identifier.volume14
dc.identifier.wos000860572100015en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.institutionauthorErol, Cengiz
dc.language.isoen
dc.publisherCureus Inc.
dc.relation.ispartofCureus Journal of Medical Scienceen_US
dc.relation.publicationcategoryDiğer
dc.rightsAttribution 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/*
dc.subjectSelective Embolization
dc.subjectInterventional Radiology
dc.subjectAbdominal Ct Angiography
dc.subjectCovid 19
dc.subjectRectus Sheath Hematoma
dc.titleManagement of spontaneous major rectus sheath hematoma in a COVID-19 patient: A case report and literature review
dc.typeArticle

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