Ay Yagmur, Canakci Mustafa Emin, Temel Tuncer, Ozakin Engin, Acar Nurdan
Emergency Medicine, Eskisehir Osmangazi University, Eskisehir, TUR.
Gastroenterology and Hepatology, Eskisehir Osmangazi University, Eskisehir, TUR.
Cureus. 2021 Mar 3;13(3):e13669. doi: 10.7759/cureus.13669.
Iatrogenic rectus sheath hematoma (RSH) developed after paracentesis is a rare but life-threatening complication. Mortality rates of patients may increase due to delays in treatment and comorbid conditions. In this article, we present the case of a patient who was unstable in the emergency department and was diagnosed with RSH using point-of-care ultrasonography (POCUS). The importance of POCUS has increased as hematoma manifestations of patients with severe ascites tend to be obscured. POCUS has varied uses in the emergency department, and in this article we emphasize the use of POCUS in a life-threatening case of RSH.
穿刺后发生的医源性腹直肌鞘血肿（RSH）是一种罕见但危及生命的并发症。由于治疗延误和合并症，患者的死亡率可能会增加。在本文中，我们介绍了一名在急诊科情况不稳定的患者，通过床旁超声检查（POCUS）诊断为RSH的病例。随着严重腹水患者血肿表现往往被掩盖，POCUS的重要性日益增加。POCUS在急诊科有多种用途，在本文中我们强调POCUS在危及生命的RSH病例中的应用。
