Nephrotic syndrome with rectus sheath hematoma: a case report

期刊论文
出版模式：

开放获取
发表日期：

2024年3月10日

查看全文

Ai Fujii,
Yuto Matsuda,
Tomohisa Yabe,
Hayashi Norifumi,
Keiji Fujimoto,
Masahide Yamazaki,
Hitoshi Yokoyama,
Kengo Furuichi

摘要

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.