title: An Uncommon Presentation of Spontaneous Rectus Sheath Hematoma with Acute Kidney Injury due to Obstructive Uropathy and Prerenal Azotemia.
abstract: Rectus Sheath Hematoma (RSH) represents an unusual entity which is characterized by acute abdominal pain and tender palpable abdominal mass usually, among elderly patients receiving anticoagulant therapy. We report the case of an 81-year-old woman admitted to our department due to acute abdominal pain and oligoanuria. The patient had recently been hospitalized due to acute myocardial infarction (AMI) and atrial fibrillation (AF) and received both anticoagulant and antiplatelet therapies. The radiological assessments revealed an extended Rectus Sheath Hematoma and bilateral hydronephrosis. Treatment of the hematoma required cessation of anticoagulants and antiplatelet agents, immobilization, blood and fresh frozen plasma transfusion, and administration of vasopressors. The patient recovered gradually and was discharged home fifteen (15) days later.
authors.affiliation: Department of Family Medicine, General Hospital of Pella, 58200 Edessa, Greece.
authors.forename: Eleni
authors.identifier: 0000-0001-8661-8394
authors.initials: E
authors.lastname: Paschou
authors.affiliation: Medical School, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.
authors.forename: Eleni
authors.identifier: 0000-0002-8883-8208
authors.initials: E
authors.lastname: Gavriilaki
authors.affiliation: Medical School, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.
authors.forename: Asterios
authors.identifier: 0000-0001-5638-7556
authors.initials: A
authors.lastname: Kalaitzoglou
authors.affiliation: Department of General Surgery, General Hospital of Pella, 58200 Edessa, Greece.
authors.forename: Maria
authors.initials: M
authors.lastname: Mourounoglou
authors.affiliation: Nephrological Department, General Hospital of Pella, 58200 Edessa, Greece.
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Sabanis