Bilateral rectal sheath hematomas after low-molecular weight heparin treatment in uremia.
Rectus sheath hematomas (RSHs) are uncommon. They are usually unilateral and rarely bilateral. In this paper, we report the first case of spontaneous bilateral RSHs in a uremic patient after the administration of the first dose of low-molecular weight heparin during hemodialysis. The most interesting aspect of this case is that the main symptom of RSH in our patient was urinary bladder irritation. We highlight the importance of the prompt diagnosis and management of this medical emergency.
a Department of Hemopurification, Affiliated Hospital of Jining Medical College , Jining , Shandong , China.
Lu
L
Xu
b Department of Nephrology , Affiliated Hospital of Jining Medical College , Jining , Shandong , China.
Lei
L
Liu
b Department of Nephrology , Affiliated Hospital of Jining Medical College , Jining , Shandong , China.
Xinjian
X
Li
D015746:Abdominal Pain / Q000175:diagnosis / Q000209:etiology; D061605:Administration, Intravenous; D000925:Anticoagulants / Q000008:administration & dosage / Q000009:adverse effects* / Q000627:therapeutic use; D012103:Batroxobin / Q000008:administration & dosage / Q000627:therapeutic use; D016913:Blood Component Transfusion; D006406:Hematoma / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000628:therapy; D006490:Hemostatics / Q000008:administration & dosage / Q000627:therapeutic use; D006495:Heparin, Low-Molecular-Weight / Q000008:administration & dosage / Q000009:adverse effects* / Q000627:therapeutic use; D006801:Humans; D006947:Hyperkalemia / Q000097:blood / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010949:Plasma; D017568:Rectus Abdominis / Q000473:pathology; D006435:Renal Dialysis / Q000009:adverse effects* / Q000379:methods; D013927:Thrombosis / Q000517:prevention & control; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D014511:Uremia / Q000097:blood / Q000628:therapy*; D001745:Urinary Bladder Diseases / Q000000981:diagnostic imaging / Q000209:etiology
D000925:Anticoagulants; D006490:Hemostatics; D006495:Heparin, Low-Molecular-Weight; D012103:Batroxobin
Rectus sheath hematomas; hemodialysis; low-molecular weight heparin; uremic