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J Korean Rheum Assoc.  2007 Mar;14(1):91-95. 10.4078/jkra.2007.14.1.91.

Rectus Sheath Hematoma Complicated by Rectus Abdominus Myonecrosis in a Patient with Rheumatoid Arthritis

Affiliations
  • 1YTS Rheumatology Clinic, Korea.
  • 2Department of Internal Medicine, Hanyang University School of Medicine, Korea.
  • 3Departement of Rheumatology, The Hospital for Rheumatic Diseases, Korea. junjb@hanyang.ac.kr
  • 4Department of Radiology, Hanyang University School of Medicine, Seoul, Korea.

Abstract

Rectus sheath hematoma is an uncommon cause of acute abdomen, caused by a tear in deep epigastric vessels or its branches. It occurs spontaneously, after trauma or surgery. Rectus abdominus myonecrosis is a life threatening complication of rectus sheath hematoma. We report a case with fatal rectus sheath hematoma complicated by rectus abdominus myonecrosis caused by ischial fracture in a chronic active rheumatoid arthritis patient.

Keyword

Rectus sheath hematoma; Myonecrosis; Rheumatoid arthritis; Fracture

MeSH Terms

Abdomen, Acute
Arthritis, Rheumatoid*
Hematoma*
Humans
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