Can enoxaparin cause hematoma?
Anterior abdominal wall hematoma or retroperitoneal hematoma is an uncommon complication of subcutaneous injection of enoxaparin, although it is a documented complication of IV unfractionated heparin and oral anticoagulants.
How long does it take a rectus sheath hematoma to heal?
Postdischarge care includes rest, analgesics, hematoma compression, ice packs, and treatment of predisposing conditions. Type I hematomas resolve after approximately 1 month. Type II hematomas require 2-4 months, and type III hematomas require more than 3 months and as long as a year for complete resolution.
What causes a rectus sheath hematoma?
Rectus sheath hematomas (RSHs) are generally caused either by rupture of one of the epigastric arteries or by a muscular tear with shearing of a small vessel.
How is rectus sheath hematoma diagnosed?
The best diagnostic modality to evaluate a suspected RSH is an abdominal computerized tomography (CT) scan, which is more specific than ultrasonography. (Abdom Imaging 1996;21:62.) Sonographic findings are nonspecific in some cases, and can mimic abdominal wall tumors and inflammatory diseases.
Can you get a blood clot on Lovenox?
Lovenox can cause a very serious blood clot around your spinal cord if you undergo a spinal tap or receive spinal anesthesia (epidural), especially if you have a genetic spinal defect, a history of spinal surgery or repeated spinal taps, or if you are using other drugs that can affect blood clotting, including blood …
Is a rectus sheath hematoma painful?
Although uncommon, rectus sheath hematoma is a significant cause of abdominal pain that can imitate surgical acute abdomen.
What is a hematoma of rectus sheath?
Rectus sheath hematoma is an uncommon cause of acute abdominal pain. It is an accumulation of blood in the sheath of the rectus abdominis, secondary to rupture of an epigastric vessel or muscle tear. It could occur spontaneously or after trauma.
Is rectus sheath hematoma fatal?
Rectus sheath hematoma (RSH) is an uncommon and often misdiagnosed condition. This well-described entity is typically self-limited. In rare cases, the condition may be fatal.
Can you drink coffee while on blood thinners?
It was concluded that caffeine has the capacity to inhibit the metabolism of warfarin and enhance its plasma concentration and hence anticoagulant effects. Thus, patients should be advised to limit the frequent use of caffeine-rich products i.e. tea and coffee during warfarin therapy.
Can a blood clot move while on blood thinners?
Taking a blood thinner makes it less likely that you’ll get a clot, but “it’s still smart to get up and move around every hour or two,” Dr. Zimring says.
What causes a spindle shaped hematoma in the rectus sheath?
Patients usually present with unilateral, small, spindle-shaped masses because these hematomas are isolated by the rectus sheath and the tendinous inscriptions, causing tamponade of the bleeding. Hematomas below the arcuate line are caused by damage to the inferior epigastric artery or its perforating branches.
What causes abdominal pain with rectus sheath hematoma?
Rectus sheath hematoma (RSH) (see the image below) is an uncommon and often clinically misdiagnosed cause of abdominal pain. It is the result of bleeding into the rectus sheath from damage to the superior or inferior epigastric arteries or their branches or from a direct tear of the rectus muscle.
What is the mortality rate for rectus sheath hematoma?
Mortality/Morbidity. Although usually a benign self-limiting condition, rectus sheath hematoma (RSH) may be fatal. Mortality figures are prone to error because of the uncommon incidence of rectus sheath hematoma and the paucity of recent mortality data. Overall, the mortality rate is reported to be 4%.
Who was the first person to have rectus sheath hematoma?
Rectus sheath hematoma is an ancient disorder first being accurately described by Hippocrates and mentioned by Galen. The first reported case in the United States was by Richardson in 1857.