Ultrasound-guided percutaneous drainage of a traumatic abdominal wall hematoma in the emergency department

doi:10.5847/wjem.j.issn.1920-8642.2012.04.013

Abstract

Abstract:

BACKGROUND: Abdominal wall hematoma is due to trauma, coagulation disorders or anticoagulation therapy complications.

METHODS: In this report we present a case of a 44-year-old female who suffered from blunt abdominal trauma and presented to the emergency department with sharp abdominal pain and ecchymosis. FAST and abdominal computerized tomography (CT) revealed an abdominal wall hematoma. Treatment with an ultrasound-guided percutaneous drainage was performed successfully.

RESULTS: The patient remained under observation for six hours with serial ultrasound scans, and no signs of hematoma recurrence were present. She was discharged the same day with clinical improvement.

CONCLUSION: Complete history investigation and clinical examination help to make a correct diagnosis of abdominal wall hematoma, select a prompt treatment, and reduce complications.

Key words: Rectus sheath hematoma, Abdominal wall hematoma, Emergency Department, FAST, Ultrasound guided percutaneous drainage

Laura Trujillo, Sara Naranjo, Alejandro Cardozo, Bryan Alvarez. Ultrasound-guided percutaneous drainage of a traumatic abdominal wall hematoma in the emergency department[J]. World Journal of Emergency Medicine, 2012, 3(4): 308-310.

Figures/Tables 3

References 8

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