Published online Jul 16, 2024. doi: 10.12998/wjcc.v12.i20.4325
Revised: April 25, 2024
Accepted: May 22, 2024
Published online: July 16, 2024
Processing time: 124 Days and 15.5 Hours
Rectus sheath hematoma (RSH) is uncommon, and because people have limited knowledge about it, it is difficult to recognize the symptoms in time, often de-laying optimal treatment.
Herein, we report a case of a 77-year-old female with RSH. The patient was treated at our hospital for coronavirus disease 2019. Anticoagulant treatment was administered during this period because of thrombosis. On the 8th d of treatment, the patient complained of abdominal pain. Ultrasonography revealed a solid cystic mass in the pelvic cavity. An emergency laparotomy was performed, and a huge hematoma was found in the deep layer of the rectus abdominis muscle. We used anticoagulants with caution based on the patient’s condition.
Optimal management of patients with RSH s depends on timely diagnosis and when to reintroduce anticoagulants.
Core Tip: Rectus sheath hematoma (RSH) is an uncommon disease in clinical practice, often affecting older and postpartum women. Since the coronavirus disease 2019 (COVID-19) outbreak, the prevalence of RSH has increased due to patients with severe cough symptoms and the use of anticoagulants for thrombotic complications. Therefore, we report a case of a RSH in a patient with COVID-19. A systematic analysis of the clinical manifestations, diagnosis, and treatment of this disease can enhance clinicians’ understanding of it.