Nephrotic syndrome with rectus sheath hematoma: a case report.
J Med Case Rep
; 18(1): 148, 2024 Mar 10.
Article
in En
| MEDLINE
| ID: mdl-38461309
ABSTRACT
BACKGROUND:
Rectus sheath hematoma is a rare presentation often associated with abdominal trauma and anticoagulant therapy. Here, we present a patient with severe rectus sheath hematoma accompanied by nephrotic syndrome who achieved significant clinical improvement without the need for invasive treatment. CASE PRESENTATION A 72-year-old Japanese woman was referred to our hospital for the treatment of nephrotic syndrome. She was receiving steroid and anticoagulant therapy. Then she had abdominal pain and she was diagnosed with spontaneous rectus sheath hematoma by abdominal computed tomography. She received transfusion and was managed conservatively with bed rest, which led to improvement in abdominal pain.CONCLUSION:
Despite the absence of trauma history, rectus sheath hematoma should be considered in patients at risk of vascular failure, including those receiving anticoagulant or steroid therapy, those who are elderly, and those with nephrotic syndrome.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Muscular Diseases
/
Nephrotic Syndrome
Limits:
Aged
/
Female
/
Humans
Language:
En
Journal:
J Med Case Rep
Year:
2024
Document type:
Article
Affiliation country: