Management of patients with rectus sheath hematoma: Personal experience

Rectus sheath hematoma (RSH) is a rare clinical entity. It can be mistaken for other intra-abdominal disorders, which can result in diagnostic and therapeutic difficulties. This study was undertaken to analyze the clinical presentation, diagnostic modalities, and management of patients affected with RSH. Methods: Between January 2008 and June 2011, eight patients (5 men and 3 women with a mean age of 53 years) with RSH were evaluated according to demographic characteristics, clinical and radiological findings, and methods of treatment. Results: Six patients developed RSH after anticoagulant therapy; one after local trauma, and one after laparoscopic intervention. Six patients were treated nonsurgically; one patient underwent embolization of the inferior epigastric artery and one underwent ligation of the bleeding vessel. The average hospital stay was 6 days. There were no mortality or thromboembolic complications. Conclusion: RSH is a rare nonneoplastic entity that is usually associated with abdominal trauma and/or anticoagulant therapy. The gold standard for diagnosis is computed tomography, and ultrasonography can be used in follow-up. The treatment of choice is nonsurgical therapy because RSH is a self-limited condition. Surgical intervention should be reserved for cases with hemodynamic instability

Genotype frequencies with significant differences in the selected SNPs between children with non-severe and those with severe sepsis.^a

a<p>The sums may not add up to the total because of some missing values. HWE: Hardy-Weinberg equilibrium.</p>b<p>p-values from univariate analyses, not adjusted for multiple testing. None of the p-values was significant after correction for multiple testing.</p

Distribution of pathogens in the blood cultures of 101 neonates with microbiologically-confirmed sepsis.

<p>Distribution of pathogens in the blood cultures of 101 neonates with microbiologically-confirmed sepsis.</p

Genotype frequencies with significant differences in the selected SNPs between controls and children with sepsis.^a

a<p>The sums may not add up to the total because of some missing values. HWE: Hardy-Weinberg equilibrium.</p>b<p>p-values from univariate analyses, not adjusted for multiple testing. None of the p-values was significant after correction for multiple testing.</p

Genotype frequencies with significant differences in the selected SNPs between children with Gram-negative and those with Gram-positive sepsis.^a^,^b

a<p>The sums may not add up to the total because of some missing values.</p>b<p>Two subjects had fungal infections and were not included in this analysis.</p>c<p>Odds ratios of Gram-positive sepsis. HWE: Hardy-Weinberg equilibrium.</p>d<p>p-values from univariate analyses, not adjusted for multiple testing. None of the p-values was significant after correction for multiple testing.</p

Management of patients with rectus sheath hematoma: Personal experience

Rectus sheath hematoma (RSH) is a rare clinical entity. It can be mistaken for other intra-abdominal disorders, which can result in diagnostic and therapeutic difficulties. This study was undertaken to analyze the clinical presentation, diagnostic modalities, and management of patients affected with RSH. Methods: Between January 2008 and June 2011, eight patients (5 men and 3 women with a mean age of 53 years) with RSH were evaluated according to demographic characteristics, clinical and radiological findings, and methods of treatment. Results: Six patients developed RSH after anticoagulant therapy; one after local trauma, and one after laparoscopic intervention. Six patients were treated nonsurgically; one patient underwent embolization of the inferior epigastric artery and one underwent ligation of the bleeding vessel. The average hospital stay was 6 days. There were no mortality or thromboembolic complications. Conclusion: RSH is a rare nonneoplastic entity that is usually associated with abdominal trauma and/or anticoagulant therapy. The gold standard for diagnosis is computed tomography, and ultrasonography can be used in follow-up. The treatment of choice is nonsurgical therapy because RSH is a self-limited condition. Surgical intervention should be reserved for cases with hemodynamic instability