Kizilkanat Kansav Tunc, Olcucuoglu Engin, Kulacoglu Hakan
Department of Surgery, Diskapi Yildirim Beyazit Teaching and Research Hospital Ankara Turkey.
Cases J. 2009 Jul 7;2:6353. doi: 10.4076/1757-1626-2-6353.
Rectus sheath hematoma may present as a painful mass in the anterior abdominal wall. The underlying reasons may vary, while anticoagulant use and thromboembolism prophylaxis are documented causes. Treatment is mostly conservative however interventional procedures can be required. We herein present a case of 76-year-old patient with an uncontrolled rectus hematoma despite surgical hemostasis. The patient was treated succesfully by applying hemostatic matrix (Floseal).
腹直肌鞘血肿可能表现为前腹壁的疼痛性肿块。其潜在原因可能各不相同,而使用抗凝剂和预防血栓栓塞是已记录的病因。治疗大多是保守的,但可能需要采取介入性操作。我们在此报告一例76岁患者,尽管进行了手术止血,但腹直肌血肿仍未得到控制。通过应用止血基质(弗洛塞尔)成功治疗了该患者。