Rectus Sheath Hematoma: A Simplified Emergency Surgical Approach

Mantelas, Michael; Katsiki, Niki; Antonitsis, Polychronis; Kyurdzhieva, Ellada; Mikhailidis, Dimitri P; Hatzitolios, Apostolos

Rectus Sheath Hematoma: A Simplified Emergency Surgical Approach

Michael Mantelas^{1, *}, Niki Katsiki^{2, 3}, Polychronis Antonitsis¹, Ellada Kyurdzhieva⁴, Dimitri P Mikhailidis², Apostolos Hatzitolios³

¹ Department of Cardiothoracic Surgery, AHEPA University Hospital, Thessaloniki, Greece

² Department of Clinical Biochemistry (Vascular Disease Prevention Clinics), Royal Free Hospital campus, University College London Medical School, University College London (UCL), London NW3 2QG, UK

³ 1st Propedeutic Department of Internal Medicine, AHEPA University Hospital, Thessaloniki, Greece

⁴ Department of Anesthesia, AHEPA University Hospital, Thessaloniki, Greece

Article Information

Identifiers and Pagination:

Year: 2011
Volume: 5
First Page: 4
Last Page: 5
Publisher ID: TOCMJ-5-4
DOI: 10.2174/1874192401105010004

Article History:

Received Date: 2/12/2010
Revision Received Date: 24/12/2010
Acceptance Date: 28/12/2010
Electronic publication date: 4/2/2011
Collection year: 2011

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© Mantelas et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

^* Address correspondence to this author at the AHEPA University Hospital St. Kiriakidi 1, 54636 Thessaloniki Greece; Tel: 00302310994843; Fax: 00302310994871; E-mail: mantelas@gmail.com

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..

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Dimitri P. Mikhailidis

Department of Clinical Biochemistry
Royal Free Hospital Campus
University College London Medical School
London
UK

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The Open Cardiovascular Medicine Journal
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RESEARCH ARTICLE

Rectus Sheath Hematoma: A Simplified Emergency Surgical Approach

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About the Editor

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