1/20. Rectus sheath haematoma: an unusual diagnosis.Rectus sheath haematoma is a very rare occurrence. There were four cases in this hospital within a three month period. In this article, these cases, their investigation and management arc reported. A review of the literature was undertaken to ascertain how best to diagnose and treat this condition.- - - - - - - - - - ranking = 1keywords = haematoma (Clic here for more details about this article) |
2/20. dengue fever associated with a haematoma of the rectus abdominis muscle.We describe a patient with dengue fever with a haematoma of the rectus abdominis muscle, due to a tear in the inferior epigastric artery following episodes of retching. From the literature reviewed, we noted that there are no previous reports of dengue fever associated with muscle haematomas.- - - - - - - - - - ranking = 1.2keywords = haematoma (Clic here for more details about this article) |
3/20. Spontaneous haematoma of the iliac psoas muscle: a case report and review of the literature.Spontaneous haematomas of the iliac psoas muscle are rare lesions seen in patients receiving anticoagulant agents or suffering from clotting disorders. We report the rare case of a spontaneous iliac psoas haematoma causing femoral neuropathy in a patient not undergoing anticoagulant treatment or suffering from a coagulopathy. After conservative treatment the patient was entirely asymptomatic, and magnetic resonance imaging demonstrated complete dissolution of the haematoma. Spontaneous iliac psoas haematomas should be considered in the differential diagnosis of leg pain in otherwise healthy patients.- - - - - - - - - - ranking = 1.6keywords = haematoma (Clic here for more details about this article) |
4/20. A case with recurrent calf pain and swelling: recurrent spontaneous calf haematoma.The differential diagnosis of unilateral calf swelling and pain includes deep venous thrombosis, haematoma, ruptured popliteal cyst, infection, lymph oedema, and sarcoma. It is important to distinguish between these entities, as the treatment of each is different. We present a case of recurrent calf swelling due to spontaneous calf haematoma diagnosed with ultrasound and MRI and subsequently treated conservatively.- - - - - - - - - - ranking = 1.2keywords = haematoma (Clic here for more details about this article) |
5/20. Rectus sheath haematoma: a new set of diagnostic features.Rectus muscle haematoma is a well documented clinical entity, but its diagnosis remains elusive. A haematoma within the rectus sheath produces a painful, tender swelling that can mimic an intraperitoneal mass with features of an acute abdomen. Two patients with rectus haematomas presenting after bouts of prolonged coughing are reported. In both cases, clinical features and ultrasound findings suggested the presence of intraperitoneal pathology. However, in both cases consistent findings in the history and examination pointed towards the diagnosis of a rectus haematoma. It is proposed that these simple clinical criteria are diagnostic of a rectus sheath haematoma, and can thereby avert an unnecessary laparotomy.- - - - - - - - - - ranking = 1.8keywords = haematoma (Clic here for more details about this article) |
6/20. Psoas haematoma and femoral neuropathy associated with enoxaparin therapy.Haemorrhage into the iliopsoas muscle causing femoral neuropathy is an infrequent complication of haemophilia or anticoagulant therapy. The association of an iliopsoas haematoma with enoxaparin therapy is very rare. We describe a case of femoral neuropathy secondary to psoas haematoma in a patient who was on enoxaparin therapy for suspected non-Q wave myocardial infarction. There is no clear consensus for the treatment of these haematomas, with both surgical and conservative options advocated. In this case, our patient recovered fully following conservative management.- - - - - - - - - - ranking = 1.4keywords = haematoma (Clic here for more details about this article) |
7/20. Acquired factor viii inhibitor in a non-haemophilic boy.We describe the case of a previously healthy 8-year-old non-haemophilic boy who developed a factor viii inhibitor of unknown origin. The symptoms of this disease were haemorrhages in the muscles of the right thigh, numerous bruises and a large haematoma of the right crus with subsequent tissue necrosis. Activated and non-activated prothrombin complex concentrates were administered in the therapy of the haemorrhages. To eliminate factor viii inhibitor, the patient was treated first with prednisone, then immunoglobulin g and finally with a combination of prednisone and cycylophosphamide, without any effect. A total spontaneous remission was observed after 15 months from the beginning of the disease.- - - - - - - - - - ranking = 0.2keywords = haematoma (Clic here for more details about this article) |
8/20. temporal muscle haematoma as a cause of suboptimal haemicraniectomy: case report.OBJECTIVE: To call attention to an unusual complication of decompressive haemicraniectomy in the treatment of malignant haemispheric infarction. METHOD: We describe a case in which partial decompression occurred despite large craniectomy. Complete decompression followed resection of the temporal muscle. Pertinent literature is briefly reviewed. CASE DESCRIPTION: A 55-year old woman developed massive right middle cerebral artery infarction evolving to cerebral haerniation in 40 hours. Decompressive haemicraniectomy without cortical excision was unable to revert coma and decerebrate posturing because of a massive temporal muscle haemorrhage with persistent contralateral deviation of midline structures. Muscle resection was followed by adequate external haerniation of the affected haemisphere and fast recovery. Cranioplasty was succesfully performed 22 days later, following gradual regression of cerebral oedema. CONCLUSION: There is an increasing perception of the need to operate patients with massive middle cerebral or internal carotid artery territory infarctions before the development of coma and cerebral haerniation. The most common factor leading to inadequate surgical decompression is small size craniectomy. The case reported calls attention to temporal muscle bleeding as an additional complication of craniectomy.- - - - - - - - - - ranking = 0.8keywords = haematoma (Clic here for more details about this article) |
9/20. The ultrasound diagnosis of rectus sheath haematoma.Three cases of rectus sheath haematoma are presented in which the diagnosis was confirmed by the use of ultrasound. The aetiology and diagnosis of the disease are discussed and the use of ultrasonography in a disease with a previously low preoperative diagnostic rate is emphasized.- - - - - - - - - - ranking = 1keywords = haematoma (Clic here for more details about this article) |
10/20. Rectus sheath haematoma in a canoeist.A 26-year-old male canoeist was referred with a 10-day history of abdominal pain, and a palpable mass in the left upper quadrant. No history of direct trauma was given. He was not taking any medication, and malignancy and inflammatory conditions were considered in the differential diagnosis. Ultrasonographic scan identified a mass originating in the rectus abdominis sheath. Ultrasonographically guided aspiration yielded some partially clotted blood, confirming the clinical diagnosis of rectus sheath haematoma. After conservative treatment, the patient resumed training, and is fully asymptomatic 1 year after discharge.- - - - - - - - - - ranking = 1keywords = haematoma (Clic here for more details about this article) |
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