Research Article

Conservative Treatment of Spontaneous Rectus Sheath Hematomas: Single Center Experience and Literature Review

Table 1

Detailed information of patients with SRSH. F: female, M: male, HT: hypertension, DM: diabetes mellitus, MVR: mitral valve replacement, COPD: chronic obstructive pulmonary disease, CAD: coronary artery disease, CABG: coronary artery bypass grafting, AF: atrial fibrillation, AVR: aortic valve replacement, DVT: deep vein thrombosis, MI: myocardial infarction, PE: pulmonary embolism, CVD: cerebrovascular disease, LMWH: low-molecular-weight heparins, ASA: acetylsalicylic acid, RBC: red blood cells, FFP: fresh frozen plasma, INR: international normalized ratio, PT: prothrombin time, aPTT: activated partial thromboplastin time.

Patient No.GenderAge (year)ComorbidityAnticoagulant and/or Antiplatelet TreatmentPhysical ExaminationSymptomsHematoma Size (mm)Types according to the Tomography FindingsLength of Hospitalization (day)Begin Retreatment (day)INRPT (sn)aPTT (sn)Blood TransfusionHemoglobin (g/dL)

1F52HT-DM- MVR-COPDLMWH+ASARight lower quadrant massAbdominal pain33Type 2551.11328.4-13.6

2M47CAD-Paraumbilical massAbdominal pain- Nausea12Type 11-112.126.4-15.7

3F81AF-ConstipationWarfarin-ASARight lower quadrant massAbdominal pain35Type 2445.566.91711 U RBC, 1 U
FFP and vitamin K
9.2

4F74HT-AVR-Constipation- ObesityWarfarin-ASABilateral lower quadrant massHypotension- Vomiting97Type 323234.557.11402 U RBC, 1 U
FFP and vitamin K
8.1

5F63DM-DVT story- Constipation- ObesityLMWHLeft lower quadrant massAbdominal pain52Type 2994.251.11301 U FFP and vitamin K12.7

6M67HT-DM-CAD-Previous MI- ObesityASARight lower quadrant massAbdominal pain32Type 2330.89.824.9-14.9

7F65HT-CAD- ConstipationASARight upper and lower quadrant massAbdominal pain-Fever34Type 2330.910.928-15.0

8F78MVR-HT-Obesity- CAD-Coronary stentWarfarin-ASARight lower quadrant massAbdominal pain- Hypotension47Type 21210788.91922 U FFP and vitamin K11.4

9F61PE-COPD-
Obesity
WarfarinRight lower quadrant massAbdominal pain48Type 21111336.593.31 U FFP13.8

10F59HT-AF-
COPD-Obesity
WarfarinBilateral lower quadrant massHypotension- Vomiting90Type 317174.457.11251 U RBC, 1 U FFP and vitamin K8.8

11F56HT-CAD- CABGASARight upper and lower quadrant massEcchymosis23Type 122112.131.1-14.3

12M71HT-DM-CVDClopidogrelRight lower quadrant massEcchymosis30Type 2330.910.326.4-15.5

13M93HT-DM-AF- COPD-ObesityWarfarinRight lower quadrant massAbdominal pain32Type 1642.530.477.71 U FFP14.7

14F65DM-Hospitalized with DVT- COPD-ObesityLMWHBilateral lower quadrant massAbdominal pain-Sencop55Type 212124501241 U FFP13.9