title: Giant rectus sheath hematoma after therapeutic paracentesis resulting in hemodynamic instability in the intensive care unit.
abstract: Rectus sheath hematoma (RSH) is a rare but potentially serious complication that can occur after abdominal paracentesis. Although RSH is often self-limited, it can lead to life-threatening conditions when diagnosis and/or treatment are delayed. In the neuro-intensive care unit, the diagnosis is often difficult to make or delayed because most patients have poor mental status and are unable to communicate their RSH-related symptoms. We report a case of a giant RSH detected by abnormal hemodynamic conditions on intensive care unit monitoring after abdominal paracentesis.
authors.affiliation: Department of Neurology, Columbia University College of Physicians and Surgeons, New York, NY 10032, USA.
authors.forename: Sang-Bae
authors.initials: SB
authors.lastname: Ko
authors.forename: H Alex
authors.initials: HA
authors.lastname: Choi
authors.forename: Rishi
authors.initials: R
authors.lastname: Malhotra
authors.forename: Kiwon
authors.initials: K
authors.lastname: Lee
mesh_terms: D000328:Adult; D006406:Hematoma / Q000209:etiology*; D006439:Hemodynamics / Q000502:physiology*; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D019152:Paracentesis / Q000009:adverse effects*; D017568:Rectus Abdominis / Q000503:physiopathology*