Abstract
Increasing use of antiplatelet and anticoagulant therapies has led to a concomitant increase in the incidence of rectus sheath hematoma. Herein, we report a 55-year-old patient of massive rectus sheath hematoma and ongoing bleeding into the left rectus sheath presenting with epigastric pain and hemodynamic involvement who underwent triple valve surgery three weeks ago. The bleeding vessel of the superior epigastric artery was detected by emergency selective angiographic imaging of the left internal mammarian artery, and embolization was performed successfully. Complete absorption of the hematoma was proven by computed tomography after 19 months.
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