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Rectus Sheath Hematoma: A Simplified Emergency Surgical Approach
Michael Mantelas1 , *
Niki Katsiki2 , 3
Polychronis Antonitsis1
Ellada Kyurdzhieva4
Dimitri P Mikhailidis2
Apostolos Hatzitolios3
Authors Info & Affiliations
Niki Katsiki2 , 3
Polychronis Antonitsis1
Ellada Kyurdzhieva4
Dimitri P Mikhailidis2
Apostolos Hatzitolios3
Authors Info & Affiliations
The Open Cardiovascular Medicine Journal
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4 Feb 2011 •
RESEARCH ARTICLE
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DOI: 10.2174/1874192401105010004
Abstract
Rectus sheath hematoma (RSH) is an uncommon clinical event usually associated with trauma or coagulation disorders. It can also occur spontaneously. RSH usually runs a benign course but it can present with hypovolemic shock. When conservative management fails, surgical exploration becomes mandatory. We propose a technique of emergency ligation of the inferior epigastric artery. This is a simple approach as this artery originates at the posterior rectus sheath above the inguinal ligament. This safe technique provides immediate hemodynamic stabilization.
Keywords: Rectus sheath, hematoma, inferior epigastric artery..