Rectus sheath hematoma (RSH) is a rare clinical entity that has been associated
with the use of injectable anticoagulant therapy. Although low molecular weight
heparin (LMWH) was proven to have a better safety profile than its predecessor,
it is not without its own risk of bleeding. The increase in use of self-injectable
LMWH in both in-patient as well as out-patient basis warrants greater awareness
among health care providers, patients and caregivers regarding the potential risks
and identification of possible complications. We present a fatal case of rectus
sheath hematoma in an elderly man that occurred following erroneous technique of Dalteparin injection