• Int Surg · Jan 2015

    Case Reports

    Surgical management of left upper quadrant sided rectus sheath hematoma occurred by coughing in a hemodialysis patient.

    • Sangchul Yun, Sungwoo Cho, Zisun Kim, Han Ul Chong, and Jae Joon Kim.
    • Department of Surgery, Soonchunhyang University College of Medicine, Seoul, Korea.
    • Int Surg. 2015 Jan 1; 100 (1): 190-2.

    AbstractRectus sheath hematoma (RSH) is a rarely-occurring disease that is usually associated with anticoagulation, trauma, or spontaneous events. Most spontaneous rectus sheath hematomas may be relieved with conservative management. However, some extreme situations need surgical approach. Respecting the fact that the inferior epigastric artery mainly supplies the rectus abdominis muscle, interrupting its proximal side would cease the bleeding. We present a stepped procedure of ligation of the inferior epigastric artery and evacuation of hematoma with good field of vision in case of rectus sheath hematoma in hemodialysis patient.

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