| Spontaneous rectus sheath hematoma pregnancy: case report and review of the literature. | |
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MedLine Citation:
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PMID: 20955630 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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Rectus sheath hematoma (RSH) is a rare, but important potential cause of acute upper abdominal pain in pregnancy. We report a patient with history of hemolysis, elevated liver enzymes, low platelets syndrome who presented with upper abdominal pain, hypotension, elevated hepatic transaminase levels, and a visibly enlarging right costal margin mass at 33 weeks' gestation. She underwent emergent cesarean delivery and upper abdominal exploration with findings of a large hematoma involving the entire right rectus sheath. The current case illustrates that the diagnosis of an RSH in pregnancy can be difficult as its presentation can mimic many common causes of abdominal pain seen outside of pregnancy, as well as many specific to pregnancy. Review of the published cases from the past 20 years shows that correct diagnosis remains difficult in pregnancy despite advances in diagnostic imaging. Although management of an RSH outside of pregnancy is frequently conservative, it is very often treated surgically in pregnant patients and often leads to preterm delivery. |
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Authors:
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Mary C Tolcher; Joshua F Nitsche; Katherine W Arendt; Carl H Rose |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Obstetrical & gynecological survey Volume: 65 ISSN: 1533-9866 ISO Abbreviation: Obstet Gynecol Surv Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-10-19 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0401007 Medline TA: Obstet Gynecol Surv Country: United States |
Other Details:
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Languages: eng Pagination: 517-22 Citation Subset: IM |
Affiliation:
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Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN 55905, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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