Hüseyin NARCI, Emin TÜRK, Murat UĞUR, Erdal KARAGÜLLE

Akut Karını Taklit Eden Rektus Kası Hematomu

Karın duvarı hematomu akut karının nadir sebepi olup diğer akut karın nedenleri ile karışabilir. Gereksiz cerrahi ve morbiditeden kaçınmak için erken tanı zorunludur. Antikoagülan tedavi alan 55 yaşında tipik akut karın ağrısı ile başvuran erkek hastayı sunmaya çalıştık. Bilgisayarlı tomografi sağ rektus kılıf hematomunu gösterdi. Hasta konservatif olarak başarılı şekilde tedavi edildi. Akut karın yakınması ile başvuran hastalarda rektus kas hematomunu tanısı ayırıcı tanıda dikkate alınmalıdır.

Anahtar Kelimeler:

Karın rektu kası, akut karın, antikoagülan ajan

Rectus Sheath Hematoma Mimicking Acute Abdominal Pain

Abdominal sheat hematoma is a rare cause of acute abdominal disorders and may be misdiagnosed from other causes of abdominal pain. Early diagnosis is mandatory in order to avoid morbidity or unnecessary surgery. We describe a case of an 55-year-old men receiving anticoagulants who presented with typical clinical manifestations of acute surgical abdomen. A computed tomography scans demonstrated a right rectus sheath hematoma. The patient was treated conservatively with success. It is important to recognize this entity of rectus sheath hematoma among patients complaining of acute abdominal pain.

Keywords:

Abdomen rectus muscle; Acute abdominal; Anticoagulant agents,

PDF

___

Rajagopal AS, Shinkfield M, Voight S, Hamdan K. Massive rectus sheath hematoma. Am J Surg. 2006; 191:126-7.
Kapan S, Turhan AN, Alis H et al. Rectus sheath hematoma: three cse reports. J Med Case Reports. 2008; 2: 22.
Auten JD, Schofer JM, Banks SL , Ronney TB. Exercise-induced bilateral rectus sheath hematomas presenting as acute abdominal pain with scrotal swelling and pressure: case report and review. J Emerg Med. 2010; 38:9-12.
Miyauchi T, Ischikawa M, Miki H. Rectus sheath haematoma in an elderly woman under anticoagulant therapy. J Med Invest. 2001; 48:216–20.
Alla VM, Karnam SM, Kaushik M, Porter J . Spontaneous rectus sheath hematoma. West J Emerg Med. 2010; 11:76-9.
Zainea GG, Jordan F. Rectus sheath hematomas; their pathogenesis, diagnosis and management. Am Surg. 1988; 54:630–3
Doğaç NÖ, Yücel N,Emet M, Coskun S. Spontaneous rectus sheath hematoma presenting with acute abdominal pain: a case series and review of the literature. Ann Saudi Med. 2005; 25:250-4.
Edlow JA, Juang P, Marglies S, Burstein J. Rectus sheath hematoma. Ann Emerg Med. 1999; 34:671-5.
Berna JD, Garcia-Medina V, Guiaro J, Garcia- Medina J. Rectus sheath hematoma : diagnostic classification by CT. Abdom Imaging. 1996; 21:62-4.
Donaldson J, Knowles CH, Clark SK, Renfrew I, Lobo MD. Rectus sheath haematoma associated with low molecular weight heparin: a case series. Ann R Coll Surg Engl. 2007; 89:309-2.