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- W3154332014 abstract "Introduction: Spontaneous rectus sheath hematoma (SRSH) is a rare but serious bleeding complication of anticoagulant therapy. Prophylactic anticoagulation is recommended for some hypercoagulability conditions, such as membranous nephropathy (MN) patients with hypoalbuminemia. Patient concerns: We report 1 case of a MN patient who received prophylactic anticoagulant therapy with low-molecular weight heparin that developed a sudden onset of abdominal pain and urinary bladder irritation, sequentially. Diagnosis: Computed tomography scan showed a giant hematoma formation in the left rectus sheath and confirmed the diagnosis of SRSH. Interventions: An emergency surgery was performed due to the ongoing bleeding. We ligated the ruptured inferior epigastric artery and evacuated the hematoma. Outcomes: The patient made a gradually clinical recovery with supportive treatment. Conclusion: For MN patients who have severe hypoalbuminemia, the assessment of the benefits and risks of prophylactic anticoagulant therapy should be carefully carried out to avoid serious bleeding complications. It is equally important to consider the possibility of SRSH in patients using anticoagulants who present with acute abdominal pain. Early diagnosis and treatment can help avoid morbidity and mortality in these patients." @default.
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- W3154332014 date "2020-11-01" @default.
- W3154332014 modified "2023-09-27" @default.
- W3154332014 title "Spontaneous rectus sheath hematoma due to prophylactic anticoagulation in a membranous nephropathy patient" @default.
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- W3154332014 doi "https://doi.org/10.1097/md9.0000000000000014" @default.
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