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International Journal of Surgery... Jan 2015Rectus sheath hematoma (RSH) is a relatively rare clinical condition, strongly associated among others, with abdominal trauma and anticoagulation. Although well... (Review)
Review
Rectus sheath hematoma (RSH) is a relatively rare clinical condition, strongly associated among others, with abdominal trauma and anticoagulation. Although well documented over the years, it still seems to be often misdiagnosed. Estimations of further increase in incidence are made, based on the increasing use of anticoagulants. Thus it was of interest to us to perform a literature review on the available literature of this entity with the aim to facilitate a better understanding and management in primary and secondary care settings. This review intends to present a synthesis on the main topics of this condition such as pathophysiology, epidemiology, predisposing factors, clinical presentation, diagnosis and basic treatment instructions. The initial search resulted in 146 articles. Additional citations from the reference list of the relevant publication were also included. Every physician in the field of primary/emergency medicine and surgery must be familiar with it, as misdiagnosis may lead to unnecessary laparotomy or death. In contrast, faster and more accurate diagnosis can lead to mortality rate reduction and cost containment.
Topics: Anticoagulants; Diagnosis, Differential; Hematoma; Humans; Muscular Diseases; Rectus Abdominis
PubMed: 25529279
DOI: 10.1016/j.ijsu.2014.12.015 -
Taiwanese Journal of Obstetrics &... Nov 2022
Topics: Pregnancy; Female; Humans; Pregnancy Complications; Hematoma
PubMed: 36427987
DOI: 10.1016/j.tjog.2022.08.013 -
Hong Kong Medical Journal = Xianggang... Jun 2022
Topics: Gallbladder Diseases; Gastrointestinal Hemorrhage; Hematoma; Humans
PubMed: 35765736
DOI: 10.12809/hkmj219569 -
Current Cardiology Reports Dec 2012Intracranial hemorrhage (ICH) accounts for 10-15 % of all strokes, however it causes 30-50 % of stroke related mortality, disability and cost. The prevalence increases... (Review)
Review
Intracranial hemorrhage (ICH) accounts for 10-15 % of all strokes, however it causes 30-50 % of stroke related mortality, disability and cost. The prevalence increases with age with only two cases/100,000/year for age less than 40 years to almost 350 cases/100,000/year for age more than 80 years. Several trials of open surgical evacuation of ICH have failed to show clear benefit over medical management. However, some small trials of minimal invasive hematoma evacuation in combination with thrombolytics have shown encouraging results. Based on these findings larger clinical trials are being undertaken to optimize and define therapeutic benefit of minimally invasive surgery in combination with thrombolytic clearance of hematoma. In this article we will review some of the background of minimally invasive surgery and the use of thrombolytics in the setting of ICH and intraventricular hemorrhage (IVH) and will highlight the early findings of MISTIE and CLEAR trials for these two entities respectively.
Topics: Cerebral Hemorrhage; Cerebral Ventricles; Drainage; Hematoma; Humans; Intracranial Hemorrhages; Minimally Invasive Surgical Procedures; Neurosurgical Procedures; Suction; Thrombolytic Therapy; Ventriculostomy
PubMed: 22945285
DOI: 10.1007/s11886-012-0316-4 -
Annals of Surgery Feb 1990The management of retroperitoneal hematomas remains confusing to many surgeons because the available literature frequently groups patients with blunt and penetrating... (Review)
Review
The management of retroperitoneal hematomas remains confusing to many surgeons because the available literature frequently groups patients with blunt and penetrating etiologies together. Because the underlying injuries and their treatment may differ considerably, the nonoperative or operative approach to the common hematomas is based on mechanism of injury coupled with hemodynamic status of the patient and extent of associated injuries. After blunt trauma, selected retroperitoneal hematomas in the lateral perirenal and pelvic areas do not require operation and should not be opened if discovered at operation. Midline, lateral paraduodenal, lateral pericolonic not associated with pelvic, and portal hematomas are opened after proximal vascular control has been obtained, if appropriate. Retrohepatic hematomas without obvious active hemorrhage are not opened. After penetrating trauma, most retroperitoneal hematomas are still opened. Exceptions include isolated lateral perirenal hematomas that have been carefully staged by CT and some lateral pericolonic hematomas. As with blunt trauma, retrohepatic hematomas without obvious active hemorrhage are not opened.
Topics: Abdominal Injuries; Hematoma; Humans; Retroperitoneal Space; Therapeutic Irrigation; Wounds, Nonpenetrating; Wounds, Penetrating
PubMed: 2405790
DOI: 10.1097/00000658-199002000-00001 -
BMJ Case Reports Jan 2013
Topics: Abdominal Wall; Aged; Anticoagulants; Enoxaparin; Hematoma; Humans; Male; Tomography, X-Ray Computed
PubMed: 23341585
DOI: 10.1136/bcr-2012-008075 -
Journal of Medicine and Life 2015A developed society is usually also characterized by an elderly population, which has a continuous percentage growth. This population frequently presents a cumulus of... (Review)
Review
UNLABELLED
A developed society is usually also characterized by an elderly population, which has a continuous percentage growth. This population frequently presents a cumulus of medical pathologies. With the development of the medication and surgical treatment of different affections, the life span has increased and the pathology of an old patient has diversified as far as the cumulus of various pathological diseases in the same person is concerned. Chronic subdural pathologies represent an affection frequently met in neurosurgery practice. Any neurosurgeon, neurologist and not only, has to be aware of the possibility of the existence of a chronic subdural haematoma, especially when the patient is old and is subjected to an anticoagulant or antiaggregant treatment, these 2 causes being by far the etiological factors most frequently met in chronic subdural haematomas. With an adequate diagnosis and treatment, usually surgical, the prognosis is favorable. Although the surgical treatment presents a categorical indication in most of the cases, the fact that there are many surgical techniques, a great relapse rate, as well as the numerous studies, which try to highlight the efficiency of a technique as compared to another, demonstrate that the treatment of these haematomas is far from reaching a consensus among the neurosurgeons. The latest conservatory treatment directions are still being studied and need many years to be confirmed.
ABBREVIATIONS
CT = computerized tomography, MRI = magnetic resonance imaging.
Topics: Hematoma, Subdural, Chronic; Humans; Magnetic Resonance Imaging; Tomography, X-Ray Computed
PubMed: 26351527
DOI: No ID Found -
Aesthetic Surgery Journal Sep 2023
Topics: Humans; Rhytidoplasty; Hematoma; Surgeons
PubMed: 37437181
DOI: 10.1093/asj/sjad225 -
Ugeskrift For Laeger Oct 2021Deep-seated intracerebral spontaneous haematomas (ICHs) pose a neurosurgical challenge in decision-making process as summarised in this review. No studies have been able... (Review)
Review
Deep-seated intracerebral spontaneous haematomas (ICHs) pose a neurosurgical challenge in decision-making process as summarised in this review. No studies have been able to demonstrate a significant effect on surgical removal. The challenge to surgical removal is the damage the surgery causes to the healthy brain in connection with the surgical procedure. The application of minimally invasive techniques in the form of endoscopic removal of deep-seated ICHs, results in significantly less "trauma" to the healthy brain and hopefully a better prognosis for patients with deep-seated spontaneous ICHs.
Topics: Brain; Cerebral Hemorrhage; Endoscopy; Hematoma; Humans; Minimally Invasive Surgical Procedures; Neurosurgical Procedures; Treatment Outcome
PubMed: 34704932
DOI: No ID Found -
Stroke Jun 2016Acute leukocytosis is a well-established response to intracerebral hemorrhage (ICH). Leukocytes, because of their interaction with platelets and coagulation factors, may...
BACKGROUND AND PURPOSE
Acute leukocytosis is a well-established response to intracerebral hemorrhage (ICH). Leukocytes, because of their interaction with platelets and coagulation factors, may in turn play a role in hemostasis. We investigated whether admission leukocytosis was associated with reduced bleeding after acute ICH.
METHODS
Consecutive patients with primary ICH were prospectively collected from 1994 to 2015 and retrospectively analyzed. We included subjects with a follow-up computed tomographic scan available and automated complete white blood cell count performed within 48 hours from onset. Baseline and follow-up hematoma volumes were calculated with semiautomated software, and hematoma expansion was defined as volume increase >30% or 6 mL. The association between white blood cell count and ICH expansion was investigated with multivariate logistic regression.
RESULTS
A total of 1302 subjects met eligibility criteria (median age, 75 years; 55.8% men), of whom 207 (15.9%) experienced hematoma expansion. Higher leukocyte count on admission was associated with reduced risk of hematoma expansion (odds ratio for 1000 cells increase, 0.91; 95% confidence interval, 0.86-0.96; P=0.001). The risk of hematoma expansion was inversely associated with neutrophil count (odds ratio, 0.90; 95% confidence interval, 0.85-0.96; P=0.001) and directly associated with monocyte count (odds ratio, 2.71; 95% confidence interval, 1.08-6.83; P=0.034). There was no association between lymphocyte count and ICH expansion (odds ratio, 0.96; 95% confidence interval, 0.79-1.17; P=0.718).
CONCLUSIONS
Higher admission white blood cell count is associated with lower risk of hematoma expansion. This highlights a potential role of the inflammatory response in modulating the coagulation cascade after acute ICH.
Topics: Age Factors; Aged; Aged, 80 and over; Disease Progression; Female; Hematoma; Humans; Intracranial Hemorrhages; Leukocyte Count; Leukocytosis; Male; Middle Aged; Monocytes; Neutrophils; Predictive Value of Tests; Retrospective Studies; Sex Factors; Tomography, X-Ray Computed
PubMed: 27103016
DOI: 10.1161/STROKEAHA.116.013176