This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (26)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

A Cause of Hematoma of Rectus Abdominis

Nicholas P. Tsapatsaris, MD

Arch Intern Med. 1991;151(3):597-599.

Abstract
Although hematomas of the rectus abdominis muscle are commonly reported complications of systemic anticoagulation treatment, they are a rare complication of prophylactic adminadministratitrationlow-dosecurrence of a massive hematomathe rectus sheath is reported in a woman with chronic obstructive pulmonary disease and acute respiratory failure who was receiving low doses of heparin for the prevention of deep venous thrombosis. Three other cases of hematoma of the rectus sheath resulting from prophylactic use of heparin are reviewed. The development of hematoma in these patients may have resulted from intramuscular abdominal injection of heparin and from strain of the rectus abdominis muscle caused by coughing. When prophylactic administration of heparin is necessary in patients with a tendency to paroxysmal cough, subcutaneous injections of heparin in the thigh may be preferable to subcutaneous injections in the abdomen.

(Arch Intern Med. 1991;151:597-599)

Author Affiliations
From the Section of Hypertension and Vascular Medicine, Lahey Clinic Medical Center, Burlington, Mass.

Footnotes
Accepted for publication October 17, 1989.

Reprint requests to Section of Hypertension and Vascular Medicine, Lahey Clinic Medical Center, 41 Mall Rd, Burlington, MA 01805 (Dr Tsapatsaris).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Percutaneous Arterial Embolization in the Management of Rectus Sheath Hematoma
Rimola et al.
Am. J. Roentgenol. 2007;188:W497-W502.
ABSTRACT | FULL TEXT  

Rectus sheath haematoma: 'a diagnostic dilemma ?'
Costello and Wright
Emerg. Med. J. 2005;22:523-524.
FULL TEXT  

Site for Subcutaneous Heparin Injection
Inwood
Arch Intern Med 1993;153:263-263.
ABSTRACT  

Heparin-Induced Hematomas
Thomas
Arch Intern Med 1992;152:204-204.
ABSTRACT  

Site for Subcutaneous Heparin Injection
Morrison
Arch Intern Med 1992;152:202-202.
ABSTRACT  

Site for Subcutaneous Heparin Injection-Reply
Tsapatsaris
Arch Intern Med 1992;152:202-204.
ABSTRACT