J Korean Rheum Assoc.  2007 Mar;14(1):91-95. 10.4078/jkra.2007.14.1.91.

Rectus Sheath Hematoma Complicated by Rectus Abdominus Myonecrosis in a Patient with Rheumatoid Arthritis

• Yun HR
• Yoo KD
• Kim YJ
• Yoo TS
• Song SY
• Jun JB

• KMID: 2202196
• DOI: http://doi.org/10.4078/jkra.2007.14.1.91

Abstract

Rectus sheath hematoma is an uncommon cause of acute abdomen, caused by a tear in deep epigastric vessels or its branches. It occurs spontaneously, after trauma or surgery. Rectus abdominus myonecrosis is a life threatening complication of rectus sheath hematoma. We report a case with fatal rectus sheath hematoma complicated by rectus abdominus myonecrosis caused by ischial fracture in a chronic active rheumatoid arthritis patient.

Keyword

Rectus sheath hematoma; Myonecrosis; Rheumatoid arthritis; Fracture

MeSH Terms

Abdomen, Acute
Arthritis, Rheumatoid*
Hematoma*
Humans

Figure

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  Fig. 1. Pelvis AP showing severe osteoporosis with fracture line in the left inferior pubic ramus.

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  Fig. 2. (A) Pelvis computed tomography scan shows fracture and dislocation in left inferior pubic ramus with hematoma. (B) Pelvis computed tomography scan shows upward extension of a mass with inhomogenous density in rectus sheath.

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