The Experts below are selected from a list of 249 Experts worldwide ranked by ideXlab platform
Kumiko Shirahata - One of the best experts on this subject based on the ideXlab platform.
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An oblique Muscle Hematoma as a rare cause of severe abdominal pain: a case report
BMC Research Notes, 2013Co-Authors: Masanori Shimodaira, Tomohiro Kitano, Minoru Kibata, Kumiko ShirahataAbstract:Background Abdominal wall Hematomas are an uncommon cause of acute abdominal pain and are often misdiagnosed. They are more common in elderly individuals, particularly in those under anticoagulant therapy. Most abdominal wall Hematomas occur in the rectus sheath, and Hematomas within the oblique Muscle are very rare and are poorly described in the literature. Here we report the case of an oblique Muscle Hematoma in a middle-aged patient who was not under anticoagulant therapy. Case presentation A 42-year-old Japanese man presented with a painful, enlarging, lateral abdominal wall mass, which appeared after playing baseball. Abdominal computed tomography and ultrasonography showed a large soft tissue mass located in the patient’s left internal oblique Muscle. A diagnosis of a lateral oblique Muscle Hematoma was made and the patient was treated conservatively. Conclusion Physicians should consider an oblique Muscle Hematoma during the initial differential diagnosis of pain in the lateral abdominal wall even in the absence of anticoagulant therapy or trauma.
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an oblique Muscle Hematoma as a rare cause of severe abdominal pain a case report
BMC Research Notes, 2013Co-Authors: Masanori Shimodaira, Tomohiro Kitano, Minoru Kibata, Kumiko ShirahataAbstract:Abdominal wall Hematomas are an uncommon cause of acute abdominal pain and are often misdiagnosed. They are more common in elderly individuals, particularly in those under anticoagulant therapy. Most abdominal wall Hematomas occur in the rectus sheath, and Hematomas within the oblique Muscle are very rare and are poorly described in the literature. Here we report the case of an oblique Muscle Hematoma in a middle-aged patient who was not under anticoagulant therapy. A 42-year-old Japanese man presented with a painful, enlarging, lateral abdominal wall mass, which appeared after playing baseball. Abdominal computed tomography and ultrasonography showed a large soft tissue mass located in the patient’s left internal oblique Muscle. A diagnosis of a lateral oblique Muscle Hematoma was made and the patient was treated conservatively. Physicians should consider an oblique Muscle Hematoma during the initial differential diagnosis of pain in the lateral abdominal wall even in the absence of anticoagulant therapy or trauma.
Masanori Shimodaira - One of the best experts on this subject based on the ideXlab platform.
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An oblique Muscle Hematoma as a rare cause of severe abdominal pain: a case report
BMC Research Notes, 2013Co-Authors: Masanori Shimodaira, Tomohiro Kitano, Minoru Kibata, Kumiko ShirahataAbstract:Background Abdominal wall Hematomas are an uncommon cause of acute abdominal pain and are often misdiagnosed. They are more common in elderly individuals, particularly in those under anticoagulant therapy. Most abdominal wall Hematomas occur in the rectus sheath, and Hematomas within the oblique Muscle are very rare and are poorly described in the literature. Here we report the case of an oblique Muscle Hematoma in a middle-aged patient who was not under anticoagulant therapy. Case presentation A 42-year-old Japanese man presented with a painful, enlarging, lateral abdominal wall mass, which appeared after playing baseball. Abdominal computed tomography and ultrasonography showed a large soft tissue mass located in the patient’s left internal oblique Muscle. A diagnosis of a lateral oblique Muscle Hematoma was made and the patient was treated conservatively. Conclusion Physicians should consider an oblique Muscle Hematoma during the initial differential diagnosis of pain in the lateral abdominal wall even in the absence of anticoagulant therapy or trauma.
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an oblique Muscle Hematoma as a rare cause of severe abdominal pain a case report
BMC Research Notes, 2013Co-Authors: Masanori Shimodaira, Tomohiro Kitano, Minoru Kibata, Kumiko ShirahataAbstract:Abdominal wall Hematomas are an uncommon cause of acute abdominal pain and are often misdiagnosed. They are more common in elderly individuals, particularly in those under anticoagulant therapy. Most abdominal wall Hematomas occur in the rectus sheath, and Hematomas within the oblique Muscle are very rare and are poorly described in the literature. Here we report the case of an oblique Muscle Hematoma in a middle-aged patient who was not under anticoagulant therapy. A 42-year-old Japanese man presented with a painful, enlarging, lateral abdominal wall mass, which appeared after playing baseball. Abdominal computed tomography and ultrasonography showed a large soft tissue mass located in the patient’s left internal oblique Muscle. A diagnosis of a lateral oblique Muscle Hematoma was made and the patient was treated conservatively. Physicians should consider an oblique Muscle Hematoma during the initial differential diagnosis of pain in the lateral abdominal wall even in the absence of anticoagulant therapy or trauma.
Vittorio Miele - One of the best experts on this subject based on the ideXlab platform.
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Endovascular management of the rectus Muscle Hematoma
La radiologia medica, 2015Co-Authors: Stefano Pieri, Paolo Agresti, Grazia Loretta Buquicchio, Ilenia Di Giampietro, Margherita Trinci, Vittorio MieleAbstract:Purpose Non-traumatic spontaneous Hematoma of the rectus abdominal Muscle is not considered a critical condition. Nevertheless, it can be a serious complication in some patients due to continuous and/or consistent bleeding. The most frequent cause of spontaneous rectus Muscle Hematoma is the anticoagulation therapy. The natural history of rectus Muscle Hematoma usually leads to a positive outcome and can be spontaneously self-limited only by conservative therapy. Nevertheless, in some patients, despite a correct and early medical therapy, the continuous bleeding requests a more radical handling. Up to now, the surgical Hematoma evacuation and the bonding of blood vessels were considered the most appropriate treatment, while at present, the percutaneous management by means of selective catheters and embolization of the bleeding vessel is considered to be the most used option. Our purpose is to report our experience in the endovascular spontaneous rectus Muscle bleeding treatment in the elderly patients. Materials and methods From the data base and medical reports of the hospital, we selected 144 medical reports. We focused on those cases that showed the following criteria: patients with rectus Muscle Hematoma undergoing anticoagulation therapy and/or non-traumatic spontaneous Hematoma and with persistent bleeding revealed on CT examination despite a pharmacological treatment aimed to timely reverse coagulopathy. These criteria were found in 18 patients: 15 females and 3 males, with a median age of 73 (range 64–81). In all patients, the diagnosis had been confirmed by an abdominal CT in emergency setting, performed before and after contrast medium intravenous administration. Because of clinical conditions, all patients had been moved on the angiographic room for diagnostic arteriography and embolization. The criteria for this treatment were hemodynamic instability and the continuous bleeding despite the correct medical therapy. Results CT imaging detected rectus Muscle Hematoma in 18/18 patients and active bleeding in 7/18 patients. Selective catheterization was applied to all 18 patients; arteriographic study confirmed the information of the CT study in all of the seven patients. The inferior epigastric artery was the main cause of the bleeding in all 18 patients. In 14 patients, one single vessel was responsible for the bleeding, while in the other four patients, more than one vessel were involved: In two patients, we also found the involvement of the superior epigastric artery; while the other two patients showed also the involvement of the deep iliac circumflex artery. The material for embolization was compatible coils with micro-catheters in 17/18 patients, and glue for 1/18 patient. Conclusions Patients with large rectus Muscle Hematoma, which have not yet recovered with conservative therapy, should then consider undergoing endovascular treatment. This procedure is highly recommended in patients with other coexisting pathologies that could eventually lead to a fatal outcome. It is difficult to determine when surgery is necessary when there is very poor data provided by scientific literature review, so the decision to use surgery can be suggested when embolization is unsuccessful or when it is necessary to evacuate a complex huge fluid mass in peritoneal cavity.
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Endovascular management of the rectus Muscle Hematoma
Radiologia Medica, 2015Co-Authors: Stefano Pieri, Paolo Agresti, Grazia Loretta Buquicchio, Ilenia Di Giampietro, Margherita Trinci, Vittorio MieleAbstract:Purpose Non-traumatic spontaneous Hematoma of the rectus abdominal Muscle is not considered a critical condition. Nevertheless, it can be a serious complication in some patients due to continuous and/or consistent bleeding. The most frequent cause of spontaneous rectus Muscle Hematoma is the anticoagulation therapy. The natural history of rectus Muscle Hematoma usually leads to a positive outcome and can be spontaneously self-limited only by conservative therapy. Nevertheless, in some patients, despite a correct and early medical therapy, the continuous bleeding requests a more radical handling. Up to now, the surgical Hematoma evacuation and the bonding of blood vessels were considered the most appropriate treatment, while at present, the percutaneous management by means of selective catheters and embolization of the bleeding vessel is considered to be the most used option. Our purpose is to report our experience in the endovascular spontaneous rectus Muscle bleeding treatment in the elderly patients.
Ahmad Soltani Shirazi - One of the best experts on this subject based on the ideXlab platform.
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spontaneous iliopsoas Muscle Hematoma in a patient with von willebrand disease a case report
Journal of Medical Case Reports, 2011Co-Authors: Bijan Keikhaei, Ahmad Soltani ShiraziAbstract:Introduction Iliopsoas hemorrhage is a serious complication of bleeding disorders that occurs most commonly in patients with hemophilia and less commonly in patients with von Willebrand disease. It causes severe pain, Muscle dysfunction and occasionally femoral nerve palsy. We describe the case of a patient with von Willebrand disease type 3 with a large iliopsoas Hematoma who was treated with a von Willebrand factor concentrate (Humate-P).
Atsushi Kyan - One of the best experts on this subject based on the ideXlab platform.
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Spontaneous iliopsoas Muscle Hematoma secondary to disseminated intravascular coagulation caused by nafamostat mesilate allergy: a case study
Renal Replacement Therapy, 2019Co-Authors: Kunihisa Nezu, Takashi Yoshioka, Hiromichi Katayama, Taro Fukushi, Atsushi KyanAbstract:Background A spontaneous iliopsoas Muscle Hematoma is relatively rare and often associated with abnormal coagulation. Nafamostat mesilate is an anticoagulant agent that is sometimes used to treat hemodialysis patients at high risk of bleeding. Although severe drug allergy caused by nafamostat mesilate was previously reported, spontaneous iliopsoas Muscle Hematoma secondary to disseminated intravascular coagulation caused by nafamostat mesilate allergy has not yet been reported. Case presentation Severe nafamostat mesilate allergy occurred in a 78-year-old male patient with a 2-year history of hemodialysis. During hospitalization, disseminated intravascular coagulation occurred followed by a progressive iliopsoas Muscle Hematoma a few days later. Emergent transarterial lumbar artery embolization was successfully performed. Conclusion For dialysis patients, a detailed medical history including repeated nafamostat mesilate use and considering an allergy to nafamostat mesilate in differential diagnosis are critical. In addition to early diagnosis, when an iliopsoas Hematoma occurs, early intravascular treatment is important.
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spontaneous iliopsoas Muscle Hematoma secondary to disseminated intravascular coagulation caused by nafamostat mesilate allergy a case study
Renal Replacement Therapy, 2019Co-Authors: Kunihisa Nezu, Takashi Yoshioka, Hiromichi Katayama, Taro Fukushi, Atsushi KyanAbstract:A spontaneous iliopsoas Muscle Hematoma is relatively rare and often associated with abnormal coagulation. Nafamostat mesilate is an anticoagulant agent that is sometimes used to treat hemodialysis patients at high risk of bleeding. Although severe drug allergy caused by nafamostat mesilate was previously reported, spontaneous iliopsoas Muscle Hematoma secondary to disseminated intravascular coagulation caused by nafamostat mesilate allergy has not yet been reported. Severe nafamostat mesilate allergy occurred in a 78-year-old male patient with a 2-year history of hemodialysis. During hospitalization, disseminated intravascular coagulation occurred followed by a progressive iliopsoas Muscle Hematoma a few days later. Emergent transarterial lumbar artery embolization was successfully performed. For dialysis patients, a detailed medical history including repeated nafamostat mesilate use and considering an allergy to nafamostat mesilate in differential diagnosis are critical. In addition to early diagnosis, when an iliopsoas Hematoma occurs, early intravascular treatment is important.
