Case Report
Volume: 4 | Issue: 11 | Published: Nov 13, 2020 | Pages: 380 - 383 | DOI: 10.24911/ejmcr/173-1589747235
Rectus sheath hematoma after laparoscopic cholecystectomy: two cases
Authors: Ozlem Nuraydin
Article Info
Authors
Ozlem Nuraydin
Medical Faculty General Surgery Department, Kirsehir Ahi Evran University, Bagbasi, Turkey
Publication History
Received: May 17, 2020
Revised: September 19, 2020
Accepted: September 23, 2020
Published: November 13, 2020
Abstract
Background: Rectus sheath hematoma (RSH) results from the accumulation of blood in the rectus sheath. It is often self-limiting but might be fatal sometimes. The aim of this study was to present two patients with RSH post-laparoscopic cholecystectomy (LC) who were managed expectantly with a long length of stay and blood transfusion. Case Presentation: Two females (47 and 52 years old) had undergone LC and developed RSH on postoperative days 1 and 3, respectively. Both were anemic and slightly tachycardic, with no other abnormalities. RSH was diagnosed in both cases with sizes 5.52 × 3.62 cm and 2.7 × 1.4 cm, respectively, shown on ultrasonography and CT scan of abdomen. The patients were treated conservatively, with blood transfusion. The patients were then discharged. Conclusion: RSH might develop post-LC; hence, surgeons should assess the patients complaints, labs, and physical examination to find RSH.
Keywords: Rectus sheath hematoma, surgery, laparoscopy cholecystectomy, case report, green
