title: Surgical management of left upper quadrant sided rectus sheath hematoma occurred by coughing in a hemodialysis patient.
abstract: Rectus sheath hematoma (RSH) is a rarely-occurring disease that is usually associated with anticoagulation, trauma, or spontaneous events. Most spontaneous rectus sheath hematomas may be relieved with conservative management. However, some extreme situations need surgical approach. Respecting the fact that the inferior epigastric artery mainly supplies the rectus abdominis muscle, interrupting its proximal side would cease the bleeding. We present a stepped procedure of ligation of the inferior epigastric artery and evacuation of hematoma with good field of vision in case of rectus sheath hematoma in hemodialysis patient.
authors.affiliation: Department of Surgery, Soonchunhyang University College of Medicine, Seoul, Korea.
authors.forename: Sangchul
authors.initials: S
authors.lastname: Yun
authors.forename: Sungwoo
authors.initials: S
authors.lastname: Cho
authors.forename: Zisun
authors.initials: Z
authors.lastname: Kim
authors.forename: Han Ul
authors.initials: HU
authors.lastname: Chong
authors.forename: Jae Joon
authors.initials: JJ
authors.lastname: Kim
mesh_terms: D019074:Epigastric Arteries / Q000601:surgery*; D006406:Hematoma / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008026:Ligation; D008297:Male; D008875:Middle Aged; D009135:Muscular Diseases / Q000175:diagnosis / Q000601:surgery*; D017568:Rectus Abdominis / Q000098:blood supply / Q000601:surgery*
keywords: Hematoma; Rectus abdominis