Rectus Sheath Haematoma Secondary to Enoxaparin Injection- A Rare Case ReportCorrespondence Address :
Dr. Sidharth Agarwal,
Room No. 55, Kedar Boy's Hostel No. 2, S Nijalingappa Medical College and HSK Hospital and Research Centre,
Navanagar, Bagalkot-587103, Karnataka, India.
Rectus sheath haematoma is a well-documented condition with an elusive diagnosis. It is an uncommon complication of anti-coagulation therapy, which can have a mortality of upto 25%. The patient discussed here is a 40-year-old female who was on Inj. Enoxaparin, who developed severe abdominal pain and hypovolemia after three days of treatment. Ultrasonography and CT scan showed a large rectus sheath haematoma on the right side, which was crossing the midline towards the left side. Inj. Enoxaparin was stopped and the patient was posted for surgery. In surgery, all clots were evacuated and inferior epigastric vessels were ligated. Patient recovered well following surgery. Here, this report presents forward a case of rectus sheath haematoma secondary to enoxaparin injection, its presentation and its surgical management.
Anticoagulation therapy, Mannitol, Muscle haematoma
Sidharth Agarwal, Yamanur P Lamani, Bhimanagouda V Goudar, Eshwar B Kalburgi, Bheemappa K Bhavi. RECTUS SHEATH HAEMATOMA SECONDARY TO ENOXAPARIN INJECTION- A RARE CASE REPORT. Journal of Clinical and Diagnostic Research [serial online] 2017 March [cited: 2017 May 28 ]; 11:PD11-PD12. Available from
Date of Submission: Sep 01, 2016
Date of Peer Review: Nov 15, 2016
Date of Acceptance: Dec 23, 2016
Date of Publishing: Mar 01, 2017
Financial OR OTHER COMPETING INTERESTS: None.
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