J Korean Geriatr Soc.  2014 Dec;18(4):256-259. 10.4235/jkgs.2014.18.4.256.

Embolization of Inferior Epigastric Artery for Treatment of Rectus Sheath Hematoma Caused by Insulin Injection During Anticoagulation and Antiplatelet Therapy

Affiliations
  • 1Department of Cardiology, Catholic University of Daegu School of Medicine, Daegu, Korea. jblee@cu.ac.kr

Abstract

Rectus sheath hematoma, caused by rupture of epigastric vessel or muscle tear, is most frequently encountered in association with anticoagulation therapy, trauma, operation, and hematologic disorder. It rarely occurs spontaneously. Rectus sheath hematoma related to subcutaneous injection of insulin is very rare. We report a case of percutaneous catheterbased coil embolization for treatment of rectus sheath hematoma caused by subcutaneous injection of insulin on abdomen during anticoagulation and antiplatelet therapy in an 83-year-old thin woman with diabetes.

Keyword

Hematoma; Injections; Insulin; Rectus abdominis; Embolization

MeSH Terms

Abdomen
Aged, 80 and over
Embolization, Therapeutic
Epigastric Arteries*
Female
Hematoma*
Humans
Injections, Subcutaneous
Insulin*
Rectus Abdominis
Rupture
Insulin
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