Wang W, Duan J. Rectus sheath hematoma combined with COVID-19: A case report. World J Clin Cases 2024; 12(20): 4325-4330 [PMID: 39015905 DOI: 10.12998/wjcc.v12.i20.4325]
Corresponding Author of This Article
Jie Duan, BMed, Chief Physician, Deputy Director, Department of Obstetrics & Gynecology, Hubei Maternal and Child Health Hospital, No. 745 Wuluo Road, Hongshan District, Wuhan 430070, Hubei Province, China. xiaojie192021@163.com
Research Domain of This Article
Obstetrics & Gynecology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jul 16, 2024; 12(20): 4325-4330 Published online Jul 16, 2024. doi: 10.12998/wjcc.v12.i20.4325
Rectus sheath hematoma combined with COVID-19: A case report
Wei Wang, Jie Duan
Wei Wang, Department of Obstetrics & Gynecology, Wuhan University of Science and Technology, Wuhan 430070, Hubei Province, China
Jie Duan, Department of Obstetrics & Gynecology, Hubei Maternal and Child Health Hospital, Wuhan 430070, Hubei Province, China
Author contributions: Wang W contributed to manuscript writing and editing; Duan J contributed to conceptualization and supervision; and all authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jie Duan, BMed, Chief Physician, Deputy Director, Department of Obstetrics & Gynecology, Hubei Maternal and Child Health Hospital, No. 745 Wuluo Road, Hongshan District, Wuhan 430070, Hubei Province, China. xiaojie192021@163.com
Received: February 27, 2024 Revised: April 25, 2024 Accepted: May 22, 2024 Published online: July 16, 2024 Processing time: 124 Days and 15.5 Hours
Abstract
BACKGROUND
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.
CASE SUMMARY
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.
CONCLUSION
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.
